Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Dec 28, 2014; 6(12): 932-936
Published online Dec 28, 2014. doi: 10.4329/wjr.v6.i12.932
Focal fatty change in the liver that developed after cholecystectomy
Akinobu Osame, Toshimichi Mitsufuji, Shinichi Kora, Kengo Yoshimitsu, Daisuke Morihara, Hideo Kunimoto
Akinobu Osame, Toshimichi Mitsufuji, Shinichi Kora, Kengo Yoshimitsu, Department of Radiology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan
Daisuke Morihara, Hideo Kunimoto, Department of Gastroenterology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan
Author contributions: Osame A, Mitsufuji T, Kora S and Yoshimitsu K designed the report; Morihara D and Kunimoto H collected the patient’s clinical date; Osame A and Yoshimitsu K wrote the paper.
Correspondence to: Dr. Akinobu Osame, Department of Radiology, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan. karisumachan@gmail.com
Telephone: +81-92-8011011 Fax: +81-92-9646652
Received: January 22, 2014
Revised: September 2, 2014
Accepted: October 31, 2014
Published online: December 28, 2014
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

Core tip: We herein present a case with a history of chronic hepatitis C, who initially was misdiagnosed to have a well-differentiated hepatocellular carcinoma, but was finally diagnosed to have a focal fatty change due to aberrant pancreaticoduodenal vein that developed after cholecystectomy.