Saudi Journal of Gastroenterology
Home About us Instructions Submission Subscribe Advertise Contact Login    Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
Users Online: 892 


 
QUIZ Table of Contents   
Year : 2006  |  Volume : 12  |  Issue : 2  |  Page : 95
Multiple irregular liver lesions


Division of Gastroenterology, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Click here for correspondence address and email
 

How to cite this article:
Abdo AA. Multiple irregular liver lesions. Saudi J Gastroenterol 2006;12:95

How to cite this URL:
Abdo AA. Multiple irregular liver lesions. Saudi J Gastroenterol [serial online] 2006 [cited 2019 Nov 12];12:95. Available from: http://www.saudijgastro.com/text.asp?2006/12/2/95/27855



   Case history: Top


A 32 years old female presented with 3 months history offrequent episodes of intermittent fever, rigors, sweating,generalized weakness, malaise, vomiting, and Rt.hypochondrial pain. On examination, she was found to bemalnourished, febrile (38.5 șC), hypotensive (85/55 mmHg),mildly jaundiced with hepatomegaly and a tender right upperquadrant. Initial laboratory investigations showed WBCs:11.5 109/L; 75% Polymorphs, Hb: 86 g/L, Platelets: 482 109/L, INR: 1.1, Urea: 3.1 mmol/L, Creatinine: 75 μmol/L, Bloodglucose: 5.7 mmol/L, ALT: 9 U/L, AST: 25 U/L, ALP: 887U/L, GGT: 285 IU/L, Bilirubin: 31 μmol/L, Albumin: 27 g/L,Amylase: 158 IU/L, Lipase: 279 IU/L. Abdominal ultrasoundshowed multiple irregular hypo-echoic focal lesions mainlyin the Right lobe and a collection in the area of the gallbladder that was drained and sent for culture, which revealedStenotrophomonas maltophilia, many Candida dubliniensis,and many Candida krusei isolated.


   Questions Top
:

1. What are the different diagnostic possibilities?

2. What are the investigations in Panels A & B, and what did

they show?

3. What is the final diagnosis?

4. What is the definitive treatment of such a case and why?

Top
Correspondence Address:
Ayman A Abdo
P.O. Bob 2925(59), Riyadh 11461
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.27855

Rights and Permissions


    Figures

[Figure - 1]



 

Top
 
  Search
 
  
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  


    Case history:
    Questions
    Article Figures

 Article Access Statistics
    Viewed1999    
    Printed120    
    Emailed0    
    PDF Downloaded274    
    Comments [Add]    

Recommend this journal