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Exophytic focal nodular hyperplasia torsion: A rare cause of sudden-onset epigastric pediatric abdominal pain  Justin Lee, Mark Molitor, Mouied Alashari,

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Presentation on theme: "Exophytic focal nodular hyperplasia torsion: A rare cause of sudden-onset epigastric pediatric abdominal pain  Justin Lee, Mark Molitor, Mouied Alashari,"— Presentation transcript:

1 Exophytic focal nodular hyperplasia torsion: A rare cause of sudden-onset epigastric pediatric abdominal pain  Justin Lee, Mark Molitor, Mouied Alashari, William Winters, David E. Skarda  Journal of Pediatric Surgery Case Reports  Volume 2, Issue 9, Pages (September 2014) DOI: /j.epsc Copyright © 2014 The Authors Terms and Conditions

2 Fig. 1 Coronal CT image through mid-abdomen shows an oval mass between the contrast-filled stomach and left lobe of liver. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions

3 Fig. 2 H&E stain showing fibrotic portal region with abnormally thick artery, occasional bile ducts, and mixed inflammatory infiltrate. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions

4 Fig. 3 Trichrome stain showing expended and fibrotic portal region with multiple blood vessels. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions

5 Fig. 4 Coronal CT image through mid-abdomen shows an oval mass projecting to the left of the left hepatic lobe. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions

6 Fig. 5 Sonographic image shows the mass (outlined by cursors). Its appearance by ultrasound is similar to normal liver. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions

7 Fig. 6 Gross bisected specimen showing diffuse hemorrhagic necrosis with a central stellate-shaped scar. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions

8 Fig. 7 H&E stain showing irregular fibrous thickening with abnormal blood vessels in a background of hemorrhagic necrosis. Journal of Pediatric Surgery Case Reports 2014 2, DOI: ( /j.epsc ) Copyright © 2014 The Authors Terms and Conditions


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