Pedunculated Focal Nodular Hyperplasia Adherent to the Gall Bladder: A Case Report
Published: 2023-09-09
Page: 445-450
Issue: 2023 - Volume 6 [Issue 2]
Chetan Gowda
Department of General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, Pin – 560054, India.
A. R. Nitin Rao
Department of Surgical Gastroenterology and General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, Pin – 560054, India.
Sana Sultana
MS Ramaiah Medical College, Bangalore, Karnataka, Pin – 560054, India.
Vignesh Varma *
Department of General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, Pin – 560054, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Focal Nodular Hyperplasia (FNH) is a benign hepatic neoplasm commonly occurring in women of the reproductive age group. The pedunculated form is a rare entity that occurs in 3% of the cases. A case of pedunculated FNH adherent to the gallbladder is reported.
Case: A 33-year-old woman with a mass in the right upper quadrant of the abdomen associated with intermittent pain and was found to have pedunculated focal nodular hyperplasia adherent to the gallbladder. She underwent laparotomy with cholecystectomy and wide resection of segments V and VI of the liver.
Conclusion: Early diagnosis is imperative in cases of pedunculated FNH to guide the plan of treatment so as to minimize the risk of complications. It must therefore be kept in mind as a differential in cases of liver masses, especially in young women of the reproductive age group.
Keywords: Focal nodular hyperplasia, liver tumor, liver resection, laparotomy