[Fever as a sign of inflammatory syndrome in a female patient with hepatic haemangioma].
A 41-year-old patient presented with fever, night sweats, general malaise, abdominal pain, and substantial weight loss. Laboratory analysis suggested an inflammatory process. Diagnostic imaging revealed a hepatic haemangioma with a diameter of 20 cm. Because such giant haemangiomas of the liver can lead to inflammatory syndrome, the tumour was surgically removed. Pathological analysis confirmed the clinical diagnosis and evidence of extensive thrombosis and other vascular defects was found. Following treatment, the symptoms resolved without further complications. In patients with a giant haemangioma in the liver who present with an inflammatory syndrome, the haemangioma should be considered as the causal factor. For these patients, resection is the treatment of choice.
van Gorcum
M
M
Afd. Maag-, Darm- en Leverziekren, H437, Erasmus Medisch Centrum, Postbus 2040, 3000 CA Rotterdam.
van Buuren
H R
HR
Hussain
S M
SM
Zondervan
P E
PE
IJzermans
J N M
JN
de Man
R A
RA
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000209:etiology; D006391:Hemangioma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000601:surgery; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis* / Q000209:etiology; D016896:Treatment Outcome; D015431:Weight Loss