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Unexplained huge liver infarction presenting as a tumor with bleeding: A case report
BACKGROUND: Liver infarction is a rare necrotic lesion due to the dual blood supply consisting of the hepatic artery and portal vein. The absence of specific clinical manifestations and imaging appearances usually leads to misdiagnosis and poor prognosis. Thus, the precise diagnosis of liver infarct...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262724/ https://www.ncbi.nlm.nih.gov/pubmed/32518795 http://dx.doi.org/10.12998/wjcc.v8.i10.2016 |
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author | Wang, Fu-Hai Yang, Ning-Ning Liu, Feng Tian, Hu |
author_facet | Wang, Fu-Hai Yang, Ning-Ning Liu, Feng Tian, Hu |
author_sort | Wang, Fu-Hai |
collection | PubMed |
description | BACKGROUND: Liver infarction is a rare necrotic lesion due to the dual blood supply consisting of the hepatic artery and portal vein. The absence of specific clinical manifestations and imaging appearances usually leads to misdiagnosis and poor prognosis. Thus, the precise diagnosis of liver infarction always requires imaging studies, serum studies, and possible liver biopsy. CASE SUMMARY: We report a case of 31-year-old man who developed a huge liver infarction. Persistent right upper abdominal pain and intermittent fever were the main symptoms in this patient. Computed tomography revealed a huge irregular lesion with a maximum diameter of 12.7 cm in the right lobe of the liver. Three-dimensional reconstruction was performed and no significant interruption of the main hepatic vessels was observed. The lesion was initially considered to be a malignant tumor with internal bleeding. Laparoscopic right hepatectomy was performed, and pathology indicated a rare liver infarction. The patient recovered well and was discharged on postoperative day 21. No fever or abnormal liver function were reported in the subsequent 6 mo. CONCLUSION: In patients with a huge liver infarction, early surgical intervention may be beneficial. |
format | Online Article Text |
id | pubmed-7262724 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-72627242020-06-08 Unexplained huge liver infarction presenting as a tumor with bleeding: A case report Wang, Fu-Hai Yang, Ning-Ning Liu, Feng Tian, Hu World J Clin Cases Case Report BACKGROUND: Liver infarction is a rare necrotic lesion due to the dual blood supply consisting of the hepatic artery and portal vein. The absence of specific clinical manifestations and imaging appearances usually leads to misdiagnosis and poor prognosis. Thus, the precise diagnosis of liver infarction always requires imaging studies, serum studies, and possible liver biopsy. CASE SUMMARY: We report a case of 31-year-old man who developed a huge liver infarction. Persistent right upper abdominal pain and intermittent fever were the main symptoms in this patient. Computed tomography revealed a huge irregular lesion with a maximum diameter of 12.7 cm in the right lobe of the liver. Three-dimensional reconstruction was performed and no significant interruption of the main hepatic vessels was observed. The lesion was initially considered to be a malignant tumor with internal bleeding. Laparoscopic right hepatectomy was performed, and pathology indicated a rare liver infarction. The patient recovered well and was discharged on postoperative day 21. No fever or abnormal liver function were reported in the subsequent 6 mo. CONCLUSION: In patients with a huge liver infarction, early surgical intervention may be beneficial. Baishideng Publishing Group Inc 2020-05-26 2020-05-26 /pmc/articles/PMC7262724/ /pubmed/32518795 http://dx.doi.org/10.12998/wjcc.v8.i10.2016 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Wang, Fu-Hai Yang, Ning-Ning Liu, Feng Tian, Hu Unexplained huge liver infarction presenting as a tumor with bleeding: A case report |
title | Unexplained huge liver infarction presenting as a tumor with bleeding: A case report |
title_full | Unexplained huge liver infarction presenting as a tumor with bleeding: A case report |
title_fullStr | Unexplained huge liver infarction presenting as a tumor with bleeding: A case report |
title_full_unstemmed | Unexplained huge liver infarction presenting as a tumor with bleeding: A case report |
title_short | Unexplained huge liver infarction presenting as a tumor with bleeding: A case report |
title_sort | unexplained huge liver infarction presenting as a tumor with bleeding: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262724/ https://www.ncbi.nlm.nih.gov/pubmed/32518795 http://dx.doi.org/10.12998/wjcc.v8.i10.2016 |
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