安本 潔¹, 吉田　 博¹, 原田 大¹, 真島 康雄¹, 石井 邦英¹, 藤本 隆史¹, 岩井 一郎¹, 光山 慶一¹, 大久保 和典¹, 上野 隆登¹, 吉武 正男¹, 安倍 弘彦¹, 谷川 久一¹, 安本 壽來²

Kiyoshi YASUMOTO¹, Hiroshi YOSHIDA¹, Masaru HARADA¹, Yasuo MAJIMA¹, Kunihide ISHII¹, Takashi FUJIMOTO¹, Ichiro IWAI¹, Keiichi MITSUYAMA¹, Kazunori OOKUBO¹, Takato UENO¹, Masao YOSHITAKE¹, Hirohiko ABE¹, Kyuichi TANIKAWA¹, Toshiki YASUMOTO²

¹久留米大学医学部第二内科, ²安本病院

¹The Second Department of Internal Medicine, Kurume University School of Medicine, ²Yasumoto Hospital

キーワード : Focal fatty change, Fatty liver, Hyperechoic lesion

A case of hyperechoic multiple small nodules of the liver in alcoholic was reported. A 41-year old alcoholic male was admitted to our hospital with a complaint of general malaise. Laboratory data revealed mild abnormality of serum γ-GTP level and ICG test.
On admission, ultrasonography showed hepatic hyperechoic multiple small nodules of 1∼ 1.5 cm in diameter which was penetrated by hepatic vein. Ultrasound-guided fine needle (21G) aspiration biopsy of this lesion was performed and histological study showed the fatty change in this lesion of the liver.
After 5 weeks of admission, hepatic hyperechoic lesion was almost disappeared.
Severe perivenular and pericellular fibrosis of the liver was confirmed by silver impregnation. Thus, focal ischemia caused by severe hepatic fibrosis might be concerned for the development of hepatic focal fatty change.