title: A strange Evans syndrome: a case report.
abstract: Hepatic angiosarcoma is a rare malignant vascular tumor, which accounts for up to 2% of all primary liver tumors. The most frequent symptoms on presentation are weight loss, weakness and abdominal pain. Diagnosis of diffuse hepatic angiosarcoma can be challenging. We report an original case of diffuse liver angiosarcoma revealed by haematological abnormalities initially diagnosed as an Evans syndrome. Anaemia and thrombocytopenia are rarely the first manifestations of this pathology. They are explained by combination of several mechanisms. Diagnosis of diffuse liver angiosarcoma can be extremely difficult and physicians should be aware of these presentation.
authors.affiliation: Department of Internal Medicine, Hospices Civils de Lyon, Hotel Dieu, 1 place de l’Hôpital, 69288 Lyon Cedex 02, France andUniversity Claude Bernard Lyon 1, Lyon, France. julie.mestrallet@chu-lyon.fr
authors.forename: Julie
authors.initials: J
authors.lastname: Le Scanff
authors.forename: Stéphane
authors.initials: S
authors.lastname: Durupt
authors.forename: François
authors.initials: F
authors.lastname: Bailly
authors.forename: Agnès
authors.initials: A
authors.lastname: Rode
authors.forename: Pascal
authors.initials: P
authors.lastname: Sève