Diffuse malignant infiltration of the liver manifesting as a case of acute liver failure.
BACKGROUND
A 54-year-old male with a history of coronary artery disease, diabetes mellitus and 120 pack years of tobacco abuse presented to the emergency room with right upper quadrant abdominal pain, decreased appetite and dark urine.


METHODS
Laboratory investigations, chest radiograph, portal duplex, CT of the abdomen and pelvis, liver serologies and autopsy.


METHODS
Fulminant hepatic failure secondary to metastatic small-cell lung carcinoma.


RESULTS
Supportive care.
Gilbert
Jeffrey
J
Division of Digestive Diseases and Nutrition, University of Kentucky Chandler Medical Center, 800 Rose Street, MN649, Lexington, KY 40536-0298, USA.
Rutledge
Heather
H
Koch
Alvaro
A
D018288:Carcinoma, Small Cell / Q000150:complications / Q000556:secondary*; D003937:Diagnosis, Differential; D006801:Humans; D017114:Liver Failure, Acute / Q000175:diagnosis* / Q000209:etiology*; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary*; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged