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CASE REPORT A 62-year-old, rural female patient was referred after one week of nonspecific abdominal pain with spontaneous resolution and without other symptoms. The physical exam revealed a painless hepatomegaly without other abnormalities. Her only medical history was a surgical drainage of a liver abscess of hydatic origin 15 years ago in a rural hospital, without subsequent medical checks. Laboratory values obtained on admission were: white blood count of 6,000/mm3 with 10% lymphocytes, 79% neutrophils and 8% eosinophils, hemoglobin of 11 g/dL, and a platelet count of 198,000/mm3. Hepatic laboratory parameters showed no abnormalities. An imaging study was requested. Abdominal and pelvic CT showed multiple hepatic masses, the largest being 10 x 5 x 7 cm, in the left liver lobe with intra and extrahepatic portal invasion and secondary cavernomatosis. Upper GI endoscopy showed a grade I esophageal varices.

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2012-11-15   |   674 visitas   |   Evalua este artículo 0 valoraciones

Vol. 11 Núm.6. Noviembre-Diciembre 2012 Pags. 949-950 Ann Hepatol 2012; 11(6)