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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
DIAGNOSTIC CRITERIA OF A SCLEROSING HEMANGIOMA EVOLVED FROM CAVERNOUS HEMANGIOMA: CASE REPORT
Author
Mohammad Abdulrahim Wazzan
Email
mohammad.wazzan@gmail.com
keyword
Hemangioma, Sclerosing, Sclerosed, Hepatic, Cavernous.
Abstract
Radiological findings of typical hemangioma are well-known whereas Sclerosing hepatic hemangioma is an unusual type as a result of its rarity and unfamiliar radiologic findings. In this case report, a 57-year-old man was referred to radiology department for evaluation of a hepatic mass. On physical exam, the abdomen was soft and lax. Complete blood count revealed mild anemia and normal white blood count. The patient had an ultrasound (US) ten years prior to his visit reveled a 5 x 5 cm homogenous hyperechoic mass in the right lobe of the liver. An abdominal computed tomography (CT) scan of the abdomen showed a 10 x 12 cm well defined right hepatic hypoattenuating mass on unenhanced CT with no calcifications. A non-urgent magnetic resonance imaging (MRI) of the abdomen has been suggested to further characterize the hepatic lesion due to the significant increase in the size. A follow up MRI after one year has been performed. It revealed significant reduction in the size of the previously seen hemangioma measuring 6 x 7 cm as compared to 10 x 12 cm in the CT scan. Conclusively, a combination of features suggestive of sclerosing hemangiomas included preexisting cavernous hemangioma, decrease in size over time, and evidence of fibrosis seen by MRI should raise the possibility of sclerosing hemangioma.
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