Gastric outlet obstruction caused by focal nodular hyperplasia of the liver: A case report and literature review Cengiz Eris, Mehmet Kamil Yildiz, Mehmet.

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Gastric outlet obstruction caused by focal nodular hyperplasia of the liver: A case report and literature review Cengiz Eris, Mehmet Kamil Yildiz, Mehmet Odabasi, Sami Akbulut, Hasan Abuoglu, Erkan Ozkan International Journal of Surgery Case Reports Volume 4, Issue 8, Pages 681-683 (January 2013) DOI: 10.1016/j.ijscr.2013.05.004 Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 1 Contrast-enhanced abdominal CT showed a nearly 70mm×65mm lobulated mass with a dense contrast uptake, which was originating from segment 4b of the liver, extending to the antero-inferior rim of liver. International Journal of Surgery Case Reports 2013 4, 681-683DOI: (10.1016/j.ijscr.2013.05.004) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 2 MRI examination revealed a 78mm×55mm×56mm solid mass originating from the liver and extending caudally in an exophytic manner. International Journal of Surgery Case Reports 2013 4, 681-683DOI: (10.1016/j.ijscr.2013.05.004) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

Fig. 3 Intraoperative images. The general appearance of the exophytic mass that was originating from liver and compressing pylorus from outside (A), the image of the dense adhesions between the mass and gall bladder (B), removal of the adhesions between the gall bladder and the mass with blunt and sharp dissections (C), the image of liver after the mass was resected (D). International Journal of Surgery Case Reports 2013 4, 681-683DOI: (10.1016/j.ijscr.2013.05.004) Copyright © 2013 Surgical Associates Ltd Terms and Conditions