Hepatic infarction

Presentation

Patient who had a liver mass in segment 5, measuring 5 x 4 cm, with diagnostic imaging of hepatocellular carcinoma and who underwent extended segmentectomy. At 48 hours begins to experience dizziness, tremor, hypotension, tachycardia, increased transaminase levels and removing small amount of dark bloody bilious materials through the drain.

Patient Data

Age: 62
Gender: Male
CT

Abdominal CECT

Findings consistent with late Liver infarction of segment 8

CT

PRE SURGERY- TRIPHASIC CT STUDY

Findings compatible with hepatocellular carcinoma

There is a heterogeneous mass in segment 5, measuring 5 x 4 cm, which exhibits typical hepatocellular carcinoma: hypervascular in the arterial phase, with wash on portal and delayed phases.

Central foci are identified in all phases hypoattenuation compatible with intratumoral necrosis and a peripheral ring hypervascular late phase which could correspond to tumor capsule.

Adjacent to this lesion is identified other hypervascular nodular lesion, nonspecific. 9mm identified only in the arterial phase.

Right inguinal hernia containing small bowel loops with no signs of complication.

Left pleural effusion.

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Case information

rID: 24815
Case created: 14th Sep 2013
Last edited: 23rd Sep 2015
Inclusion in quiz mode: Included

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