[Contrast-enhanced ultrasonography in diagnosis of inflammatory pseudotumor of liver].

Zhejiang Da Xue Xue Bao Yi Xue Ban

The First Affiliated Hospital, Collgeg of Medicine, Zhejiang University, Hangzhou 310003, China.

Published: November 2010

Objective: To evaluate the application of contrast-enhanced ultrasonography (CEUS) in diagnosis of inflammatory pseudotumor of liver (IPL).

Methods: The contrast-enhanced untrasonography was performed in 32 cases of IPL and the results were retrospectively analyzed.

Result: Among total 32 cases, 21 had absent contrast enhancement (type I); 6 had rimlike or stringlike enhancement during arterial phase and presented hypoechoic lesions during the late phase (type II); 2 had diffuse and homogeneous enhancement during early arterial phase,persisting hyperechoic during the late phase (type III); 3 had enhancement during arterial phases and washed out more quickly than liver parenchymal (type IV).

Conclusion: The perfusion pattern of IPL with CEUS varies, the predominant type is no contrast enhancement; type IV may be confused with atypical hepatic carcinoma, in that case the needle biopsy is necessary.

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http://dx.doi.org/10.3785/j.issn.1008-9292.2010.06.014DOI Listing

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