Hepatocellular carcinoma presenting as a pyogenic liver abscess in a patient with hemochromatosis.
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.
Yang
Y H
YH
Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
Chen
C C
CC
Chiang
J H
JH
Kung
S P
SP
Tsay
S H
SH
Wang
S S
SS
Chang
F Y
FY
Lee
S D
SD
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