case_images: PMC3891417_01
case_images: Gadolinium-enhanced dynamic liver MRI, demonstrating two relatively well-defined masses in the right hepatic lobe (A and B). They exhibit central scar-like enhancing structures and peripheral enhancing rims.
case_images: kjim-20-76-g001.jpg
case_images: PMC3891417_01_kjim-20-76-g001.jpg
case_images: F1
case_images: Liver magnetic resonance imaging (MRI) revealed two relatively well-defined masses in the right hepatic lobe (Figure 1).
case_images: Percutaneous liver biopsy. The submitted specimen shows irregular, thick trabecular pattern of atypical hepatocytes with distinct sinusoidal space (H&E stain, x100) (A). The tumor cells have hyperchromatic nuclei with coarse chromatin patterns, distinct nucleoli, and abundant eosinophilic cytoplasms (H&E stain, x200). Immunohistochemical stains are positive for alphaFP (C), and hepatocyte-specific antigen (HSA) (D).
case_images: kjim-20-76-g002.jpg
case_images: PMC3891417_01_kjim-20-76-g002.jpg
case_images: F2
case_images: T1-weighted image and slightly inhomogeneous high signal change on T2-weighted image. The tissue diagnosis was obtained by percutaneous biopsy (Figure 2).
case_images: Pelvic CT scan demonstrates about 6 cm-sized lobulated soft tissue mass, which is heterogeneously enhanced.
case_images: kjim-20-76-g003.jpg
case_images: PMC3891417_01_kjim-20-76-g003.jpg
case_images: F3
case_images: Pelvic CT scan showed a lobulated soft tissue mass about 6 cm in size (Figure 3).
case_images: Barium study of the small bowel shows a fistula between the small bowel loop and the urinary bladder. The interluminal space of the small bowel is widened and the dome of the bladder has an irregular margin.
case_images: kjim-20-76-g004.jpg
case_images: PMC3891417_01_kjim-20-76-g004.jpg
case_images: F4
case_images: Barium study of the small bowel showed a fistula between the small bowel loop and the urinary bladder (Figure 4).