Abstract
IntroductionSolitary necrotic nodule of the liver is a rare lesion, with similar radiologic findings to those of hepatic metastases or other liver masses.Case presentationWe here report a case of a 30-year-old male with hepatic solitary necrotic nodule discovered after an episode of acute abdominal pain and high grade fever. Routine laboratory data revealed leukocytosis and abnormal liver function. The imaging features of the lesion suggested malignancy or liver adenoma. The patient underwent surgical resection of segments V and VI. Histology was compatible with solitary necrotic nodule and localized vein thrombosis at the periphery.ConclusionSolitary necrotic nodule of the liver is a benign lesion which can mimic liver malignancies. Abdominal imaging and liver biopsy are often equivocal. In such circumstances liver resection is mandatory to exclude HCC or other malignant liver lesions.
Highlights
Solitary necrotic nodule of the liver is a rare lesion, with similar radiologic findings to those of hepatic metastases or other liver masses.Case presentation: We here report a case of a 30-year-old male with hepatic solitary necrotic nodule discovered after an episode of acute abdominal pain and high grade fever
Most of the Solitary necrotic nodule (SNN) reported in the literature are benign and occurred in the right liver lobe
In the majority of cases, this condition is clinically silent, and often the patients complain of nonspecific symptoms such as right upper quadrant pain
Summary
SNN of the liver is a lesion without malignant potential. It can mimic HCC, metastasis, abscess or non-specific disease both clinically as well as imagingwise. It is important to exclude hepatic malignancy. The behavior of this lesion is benign diagnosis is usually uncertain making surgical resection imperative. Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal
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