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Saturday 3 December 2016

CASE 407: LIVER INFARCTION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Man 35 yo,  onset   epigatric pain and fever. Ultrasound  of abdomen detected  one mass  at left lobe of liver,  size 10cm,   structure looked like target..ring (US 1),  US 2:  color Doppler  shows  the left portal vein branch thrombosis; US 3=   normal flow  of hepatic vein.





Blood tests:    WBC = 16,9k with  neutro  12,9k, CRP= 243 ng/ml;   sero amibe is negative,   Wako test  triple negative, dDmer  is very high.
MSCT CE..presented the mass has  central necrosis   ( CT1), CT 2= thrombosis of  left  branch of portal vein  (CT3, CT 4).





What is your suggestion for diagnosis,based on clinical status of  US, LAB, CT.

Operation for left hepatectomy showed   big  liver tumor  not  changing the liver surface and peritoneum.



Microscopic report  is necrosis aseptic liver (liver infarction).





REFERENCE=
HEPATIC INFARCTION.pdf


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