Acute liver failure - chemotherapy induced

Case contributed by Levon Davtyan , 4 Dec 2021
Diagnosis almost certain
Changed by Mohamed Saber, 7 Dec 2021

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
Right hypochondrial region pain. With a history History of breast cancer, underwent segmental resection of the breast, radiotherapy, and chemotherapy.
Body was changed:

Here is a case of Acute liver failure after chemotherapy with Metastases from breast cancer affecting the lungs, bones, and mediastinal lymph nodes.Acute liver failure has a high mortality  (~50%).Metastases from breast cancer affect the lungs Unfortunately, bones and mediastinal lymph nodes.Unfortunately the patient passed after two days.

  • -<p><a href="/articles/acute-liver-failure">Acute liver failure</a> after chemotherapy.<br>Acute liver failure has high mortality  (~50%).<br><a href="/articles/breast-cancer-metastases-1">Metastases</a> from breast cancer affect the lungs, bones and mediastinal lymph nodes.<br>Unfortunately the patient passed after two days.</p>
  • +<p>Here is a case of <a href="/articles/acute-liver-failure">Acute liver failure</a> after chemotherapy with <a href="/articles/breast-cancer-metastases-1">Metastases</a> from breast cancer affecting the lungs, bones, and mediastinal lymph nodes. Acute liver failure has a high mortality  (~50%). Unfortunately, the patient passed after two days.</p>

Updates to Study Attributes

Findings was changed:
  • The liver is markedly enlarged and has a craniocaudal dimension of 24.0 cm
  • Hepatic parenchymal heterogeneity is visible on contrast-enhanced CT scans
  • The gallbladder wall is non significantlymildly thickened with pericholecystic fluid
  • Mild pelvic and perihepatic ascites
  • Hepatic simple cysts are visible in the segment VI
  • Right breast segmental resection and mediastinal lymphadenopathy
  • Mild right sided-sided pleural effusion
  • Hypodense metastatic lesions in the left femoral head(white arrow) and  vertebrae(not shown)
Images Changes:

Image CT (C+ portal venous phase) ( update )

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Image CT (C+ portal venous phase) ( update )

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Image 5 CT (bone window) ( update )

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