Liver Hemangioma Might Lead to overestimation of Liver Fibrosis by Fibroscan; A Missed Issue in Two Cases

authors:

avatar Seyed Hossein Aalaei-Andabili 1 , avatar Leila Mehrnoush 1 , avatar Shima Salimi 1 , avatar Mustafa Shafiei 1 , avatar Seyed Moayed Alavian 2 , *

1) Baqiyatallah Research Center for Gastroenterology and Liver Disease (BRCGL), Baqiyatallah University of Medical Sciences, 2) Rezvan Medical Research Institute, IR Iran
1) Baqiyatallah Research Center for Gastroenterology and Liver Disease (BRCGL), Baqiyatallah University of Medical Sciences, 2) Rezvan Medical Research Institute, editor@hepatmon.com, IR Iran
Hepatitis Monthly: Vol.12, issue 6; 408-410
article type: Case Report
received: May 17, 2012
accepted: June 7, 2012
DOI: https://doi.org/10.5812/hepatmon.6685

how to cite: Aalaei-Andabili S H, Mehrnoush L, Salimi S, Shafiei M, Alavian S. Liver Hemangioma Might Lead to overestimation of Liver Fibrosis by Fibroscan; A Missed Issue in Two Cases. Hepat Mon. 2012;12(6): 408-410. https://doi.org/10.5812/hepatmon.6685.

Abstract

Background: The assessment of liver fibrosis is an important way for prediction of liver disease progression and patient’s prognosis. Liver stiffness measurement (LSM) is strongly associated with stage of liver diseases. Overestimation of liver fibrosis in heart failure has been reported. We would like to introduce a new leading cause of liver fibrosis overestimation by presentation of two cases.
Case Presentation: One case with right lobe hemangioma has an overestimation of liver fibrosis. The result completely changed when Fibroscan was performed in patient’s left lobe. Interestingly, another case with left lobe hemangioma had overestimation of fibrosis in her left lobe but, right lob Fibroscan was normal.
Conclusions: We found that liver hemangioma may leads to overestimation of liver stiffness and the correct inspection of liver echogenicity before any interpretation of high liver stiffness is recommended. We suggest that patient with higher level of Fibroscan score repeat it in other sides of the liver. Also, they should be evaluated by sonography for ruling out of possible confounders such as hepatic hemangioma.

Implication for health policy/practice/research/medical education:
Hemangioma is a benign, asymptomatic, and suddenly founded hepatic tumor. Prevalence of hemangioma is high in general population.The correct inspection of liver echogenicity before any interpretation of high liver stiffness is recommended.
Please cite this paper as:
Aalaei Andabili SH, Mehrnoush L, Salimi S, Shafiei M, Alavian SM. Liver Hemangioma Might Lead to overestimation of Liver Fibrosis by Fibroscan; A Missed Issue in Two Cases. Hepat Mon. 2012;12(6): 408-410. DoI: 10.5812/hepatmon.6685

Copyright © 2012 Kowsar Corp. All rights reserved.

Full Text

Full text is available in PDF