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Title: Beware the person with the glass eye and the large liver
Authors: Vassallo, Edith
Azzopardi, Christine
Pullicino, Richard
Grech, Reuben
Keywords: Wounds and injuries -- Treatment
Blast injuries
Antineoplastic agents
Liver cells
Issue Date: 2014
Publisher: BMJ Publishing Group
Citation: Vassallo, E., Azzopardi, C., Pullicino, R., & Grech, R. (2014). Beware the person with the glass eye and the large liver. BMJ Case Reports, 1-2.
Abstract: A 67-year-old woman presented to the emergency department reporting of epigastric fullness, fatigue and weight loss. Physical examination revealed three fingerbreadths of hepatomegaly. Blood tests were unremarkable, save for a moderately raised erythrocyte sedimentation rate. An urgent CT of her abdomen demonstrated two large liver lesions of low attenuation on the non-enhanced scan, showing heterogeneous enhancement in the arterial phase with contrast washout after a 5 min delay, an appearance typical of hypervascular metastasis. Ultrasound-guided biopsy of one of these lesions was performed as a primary tumour was not identified. This revealed metastatic melanoma, however the primary lesion was not apparent on clinical examination.
Appears in Collections:Scholarly Works - FacM&SMed

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