Key result
A 33-year-old woman with primary hepatic epithelioid hemangioendothelioma initially presented with symptoms mimicking a hepatic abscess and ultimately succumbed to the disease due to late diagnosis.
Case Report (n=1)
No
Hepatic epithelioid hemangioendothelioma can present atypically as a hepatic abscess, leading to delayed diagnosis and poor outcomes.
EHE may mimic hepatic abscess clinically and on imaging; case report leaves open need for biopsy in atypical liver lesions.
Hepatic endotheiloid hemangioendothelioma (EHE) commonly presents with multilobar involvement with locally aggressive behavior. In most cases, it presents with right upper quadrant abdominal pain, hepatomegaly, and weight loss with metastasis commonly to the lung. We present a 33-year-old woman with hepatic EHE with an initial presentation mimicking hepatic abscess and imaging findings misleading for metastatic liver lesions. It was confirmed on pathology with immunohistochemistry, but the patient could not survive due to her late presentation and the presence of metastatic lesions in the lung.
No takes yet. Share an insight, caveat, or question.
Kolleri et al. (2022) conducted a case report in Primary Hepatic Epithelioid Hemangioendothelioma (n=1). Hepatic epithelioid hemangioendothelioma was evaluated. A 33-year-old woman with primary hepatic epithelioid hemangioendothelioma initially presented with symptoms mimicking a hepatic abscess and ultimately succumbed to the disease due to late diagnosis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: