Incidental finding of hepatic pseudolesion from aberrant right gastric vein in a breast cancer patient

Ahmed Sawafta, MD; Zaid Sawaftah, MD; Ameer Awashra, MD; Yaqoot Anabseh, MD; Husam Hamshary, MD; Ali Bani Odah, MD; Jana Dibas, MD; Aseel Eid, MD; Jehad Khamaysa, MD; Ahmad Hamdan, MD

Radiology Case Reports (Feb 2025)

Incidental finding of hepatic pseudolesion from aberrant right gastric vein in a breast cancer patient

Ahmed Sawafta, MD,
Zaid Sawaftah, MD,
Ameer Awashra, MD,
Yaqoot Anabseh, MD,
Husam Hamshary, MD,
Ali Bani Odah, MD,
Jana Dibas, MD,
Aseel Eid, MD,
Jehad Khamaysa, MD,
Ahmad Hamdan, MD

Affiliations

Ahmed Sawafta, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Zaid Sawaftah, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Ameer Awashra, MD: Department of Medicine, An Najah National University, Nablus, Palestine; Corresponding author.
Yaqoot Anabseh, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Husam Hamshary, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Ali Bani Odah, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Jana Dibas, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Aseel Eid, MD: Department of Medicine, An Najah National University, Nablus, Palestine
Jehad Khamaysa, MD: Department of Radiology, Tubas Turkish Governmental Hospital, Tubas, Palestine
Ahmad Hamdan, MD: College of Medicine, QU Health, Qatar University, Doha, 2713, Qatar

Journal volume & issue: Vol. 20, no. 2
pp. 1205 – 1207

Abstract

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Aberrant right gastric veins (ARGV) represent rare anatomical variations that can result in hepatic pseudolesions, mimicking malignancies due to their atypical drainage directly into the liver parenchyma. This case highlights a 44-year-old woman initially presenting with a breast mass incidentally found to have an ARGV-related pseudolesion in hepatic segment IVa. ARGV is clinically significant as it can alter hepatic blood flow dynamics, leading to hyperdense or hypodense regions on imaging. Recognizing these pseudolesions is essential to avoid misdiagnosis, unnecessary procedures, and to distinguish them from true hepatic lesions. This case emphasizes the importance of advanced imaging modalities in diagnosing such anomalies, ensuring accurate patient management.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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