title: [Hyperammonemic encephalopathy and fibrolamellar hepatocellular carcinoma].
abstract: We present the case of a young woman, 22 years old, with an aggressive form of fibrolamellar hepatocellular carcinoma. She began with the signs and symptoms of a hyperammonemic encephalopathy, an uncommon form of presentation. Fibrolamellar carcinoma is a rare liver tumor, which affects young patients without previous liver disease. Its etiology is unknown, and it has been considered as a tumor with a better prognosis than the classic hepatocellular carcinoma.
authors.affiliation: Servicio de Clínica Médica, Unidad 17, División A, Hospital Juan A Fernández, Buenos Aires, Argentina.
authors.forename: Cintia
authors.initials: C
authors.lastname: Berger
authors.forename: Pablo
authors.initials: P
authors.lastname: Dimant
authors.forename: Laura
authors.initials: L
authors.lastname: Hermida
authors.forename: Francisco
authors.initials: F
authors.lastname: Paulin
authors.forename: Matías
authors.initials: M
authors.lastname: Pereyra
authors.forename: Mariana
authors.initials: M
authors.lastname: Tejo
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000556:secondary; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology*; D006801:Humans; D022124:Hyperammonemia / Q000209:etiology*; D007150:Immunohistochemistry; D008113:Liver Neoplasms / Q000473:pathology*; D018608:Ultrasonography, Doppler; D055815:Young Adult