జీర్ణకోశ & జీర్ణ వ్యవస్థ

నైరూప్య

The Lollipop Sign: A Revealer of Hepatic Epithelioid Hemangioendothelioma: A Diagnosis not to be Missed

Wilson Bizimana, Arthur Semedo Insumbo, Hounayda Jerguigue, Rachida Latib and Youssef Omor

The lollipop sign was described in 2006 by Alomari et al. who thought that lollipop sign was a characteristic finding of Hepatic Epithelioid Hemangioendothelioma (HEHE) [1]. The lollipop sign represents hepatic portal vein or and their tributaries branches tapering and terminating at or just within the edge of a well-defined peripherally enhancing or non-enhancing lesion with an avascular core on CT or MRI Images [2]. The sign is a combination of the two structures, the hypodense or hypointense well defined tumor mass on enhanced CT or MRI images (the candy in the lollipop or target-like appearance) and the histologically occluded vein (stick) [3]. We found on abdominal CT scan this typical radiological sign indicating of Hepatic Epithelioid Hemangioendothelioma (HEHE) to a case of 25-year-old young woman with diffuse abdominal pain in the form of hepatalgia who was addressed to imaging for assessment.