case_images: PMC5080467_01
case_images: Noncirrhotic liver parenchyma but with significant portal hypertension including splenomegaly and varices.
case_images: CRIHEP2016-1732069.001.jpg
case_images: PMC5080467_01_CRIHEP2016-1732069.001.jpg
case_images: fig1
case_images: Triple-phase CT scan (Figure 1) demonstrated a noncirrhotic liver parenchyma but with evidence of significant portal hypertension including splenomegaly and varices.
case_images: Hepatic adenoma. Well-differentiated neoplasm composed of normal appearing hepatocytes arranged in sheets and thin cords with patchy pseudoacinar growth pattern (thin arrows), scattered inflammatory foci, and bands of fibrosis with unpaired arteries (thick arrow) (H&E, 200x).
case_images: CRIHEP2016-1732069.002.jpg
case_images: PMC5080467_01_CRIHEP2016-1732069.002.jpg
case_images: fig2
case_images: Immunohistochemistry demonstrated diffuse glutamine synthetase and CRP staining and patchy SAA staining which favored the diagnosis of hepatocellular adenoma, inflammatory subtype (Figure 2).
case_images: Dense portal fibrosis with loss of portal veins branches (H&E and trichrome stain, 100x).
case_images: CRIHEP2016-1732069.003.jpg
case_images: PMC5080467_01_CRIHEP2016-1732069.003.jpg
case_images: fig3
case_images: HPS (Figure 3). Hepatic venous pressure gradient was 2 mmHg.