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2016 ; 7
(6
): 831-840
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Causes of hepatic capsular retraction: a pictorial essay
#MMPMID27686493
Tan GX
; Miranda R
; Sutherland T
Insights Imaging
2016[Dec]; 7
(6
): 831-840
PMID27686493
show ga
Hepatic capsular retraction refers to the loss of the normal convex hepatic
contour, with the formation of an area of flattening or concavity. This can
result from myriad causes, including intrinsic hepatic conditions such as
cirrhosis, biliary obstruction, benign tumours, malignancy and infections, as
well as extrahepatic causes such as trauma. This article aims to provide
familiarity with this wide spectrum of conditions, including mimics of hepatic
capsular retraction, by highlighting the anatomic, pathologic and imaging
features that help distinguish these entities from one another. TEACHING POINTS:
? Hepatic capsular retraction can occur due to various intrinsic or extrinsic
hepatic causes. ? Hepatic capsular retraction is observed in both benign and
malignant conditions. ? Recognising associated imaging features can help elicit
causes of hepatic capsular retraction.