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Misdiagnosed epigastric mass: Ectopic liver
Cetin Murat Altay1, Cigdem Hacifazlioglu1, Osman Melih Topcuoglu1
1Department of Radiology, Keçiören Training and Research Hospital Keçiören, Ankara, Turkey.
Journal of Magnetic Resonance Imaging : JMRI
|August 27, 2016
Summary
Ectopic liver tissue can be misdiagnosed as an abdominal mass. Magnetic resonance imaging (MRI) is crucial for diagnosing liver positional anomalies like ectopic liver.
Area of Science:
- Radiology
- Gastroenterology
- Medical Imaging
Background:
- Ectopic liver tissue is a rare congenital anomaly.
- It can be mistaken for abdominal masses, leading to misdiagnosis.
Observation:
- A 45-year-old female presented with abdominal pain and an ultrasound-detected midline mass.
- Initial ultrasound suggested an abdominal mass adjacent to the liver.
Findings:
- Magnetic resonance imaging (MRI) revealed a solid epigastric lesion.
- The lesion exhibited similar signal intensity to the liver and excreted contrast material from the biliary ducts, consistent with ectopic liver tissue.
Implications:
- This case highlights the importance of MRI in diagnosing liver positional anomalies.
- Accurate diagnosis of ectopic liver prevents unnecessary surgical intervention for presumed abdominal masses.
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