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Focal fatty change in the liver that developed after cholecystectomy
Authors:Akinobu Osame  Toshimichi Mitsufuji  Shinichi Kora  Kengo Yoshimitsu  Daisuke Morihara  Hideo Kunimoto
Affiliation:Akinobu Osame, Toshimichi Mitsufuji, Shinichi Kora, Kengo Yoshimitsu, Department of Radiology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, JapanDaisuke Morihara, Hideo Kunimoto, Department of Gastroenterology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan
Abstract:Focal fatty change of the segment IV of the liver has been attributed to local systemic venous inflow replacing the portal venous supply, which could develop or be accentuated after gastrectomy. However, focal fatty change due to aberrant pancreaticoduodenal vein that developed after cholecystectomy has never been reported. We report a 30-year-old man with such a rare lesion, which was initially misdiagnosed as a hepatocellular carcinoma, but was confirmed on computed tomography during selective gastroduodenal arteriography. The lesion disappeared 12 mo later without any intervention.
Keywords:Focal fatty liver   Cholecystectomy   Aberrant venous inflow
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