Sterile necrosis of the liver due to primary epithelioid haemangio-endothelioma presenting as fever of undetermined origin.
We report a case of primary epithelioid haemangio-endothelioma of the liver presenting as fever of undetermined origin. Due to the presence of iso-echoic sterile necrosis of the liver no abnormalities were found on four subsequent ultrasonographies of the liver. The definite diagnosis of haemangio-endothelioma was made only after a computerized tomography guided biopsy from the area adjacent to the lesions was stained for Factor VIII. If the latter procedure is omitted, the diagnosis can easily be missed.
de Man
R A
RA
Department of Internal Medicine II, University Hospital Dijkzigt, Rotterdam, Netherlands.
Bac
D J
DJ
van Blankenstein
M
M
Zondervan
P E
PE
D005335:Fever of Unknown Origin / Q000209:etiology*; D006390:Hemangioendothelioma / Q000150:complications* / Q000473:pathology / Q000628:therapy; D006801:Humans; D008099:Liver / Q000473:pathology*; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009336:Necrosis