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British Journal of Radiology 74 (2001),270-272 © 2001 The British Institute of Radiology

Case report

Haemorrhagic hepatic cyst: a differential diagnosis of cystic tumour

A Hagiwara, MD1, Y Inoue, MD1, T Shutoh, MD2, H Kinoshita, MD2 and K Wakasa, MD3

1 Departments of Radiology
2 2nd Surgery
3 Pathology, Osaka City University Medical School, 1-4-3 Asahimachi, Abeno, Osaka 545-8585, Japan

Correspondence: A Hagiwara MD, Department of Radiology, Kobe City General Hospital, 4-6 Minatojimanakamachi, Chuo-ku, Kobe 650-0046, Japan.

A 63-year-old man was found on ultrasound examination to have a hepatic cystic mass with a mural nodule, which was mildly enhanced on contrast enhanced CT and MRI. At surgery, the cystic fluid was haemorrhagic and histological examination of the mural nodule demonstrated an organized haematoma. This case is of interest in that an apparent mural nodule was present in a non-neoplastic cyst. Haemorrhagic hepatic cyst with an organized haematoma should be included in the differential diagnosis of cystic neoplasms.






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