title: Occult malignancy presenting as acute fulminant hepatic failure.
abstract: Only six cases of hepatic metastatic disease presenting as acute fulminant liver failure have been recorded in the literature. A seventh case is reported here where, after presenting in acute liver failure, it was not possible to establish a tissue diagnosis but evidence of massive liver replacement by tumour was provided by ultrasound imaging and radionuclide scintiscanning.
mesh_terms: D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000209:etiology* / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology; D008875:Middle Aged