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.
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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