title: Hepatocellular carcinoma presenting as a pyogenic liver abscess in a patient with hemochromatosis.
abstract: Primary hemochromatosis is rare in Taiwan. Hepatocellular carcinoma (HCC) is endemic in Taiwan, but HCC with initial presentation as pyogenic liver abscess is unusual. We report a case of HCC presenting as pyogenic liver abscess in a hemochromatotic patient with cirrhosis. The patient underwent hepatectomy and had a smooth postoperative course. Unfortunately, he died of pneumonia eight months after surgery. HCC should be considered in the differential diagnosis in hemochromatotic patients with a pyogenic liver abscess.
authors.affiliation: Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Y H
authors.initials: YH
authors.lastname: Yang
authors.forename: C C
authors.initials: CC
authors.lastname: Chen
authors.forename: J H
authors.initials: JH
authors.lastname: Chiang
authors.forename: S P
authors.initials: SP
authors.lastname: Kung
authors.forename: S H
authors.initials: SH
authors.lastname: Tsay
authors.forename: S S
authors.initials: SS
authors.lastname: Wang
authors.forename: F Y
authors.initials: FY
authors.lastname: Chang
authors.forename: S D
authors.initials: SD
authors.lastname: Lee
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D006432:Hemochromatosis / Q000150:complications*; D006801:Humans; D008100:Liver Abscess / Q000209:etiology*; D008113:Liver Neoplasms / Q000175:diagnosis / Q000209:etiology*; D008297:Male