Key result
Rare infiltrative hepatic angiosarcoma presents as failure to thrive and ascites in an 82-year-old man.
Why the study?
Hepatic angiosarcoma is a rare and aggressive liver tumor with variable symptomatology and radiology presentations that make diagnosis challenging.
Case Report (n=1)
Hepatic angiosarcoma can present as an infiltrative form causing portal hypertension and ascites, mimicking cirrhosis and requiring a high index of suspicion for diagnosis.
Answers are grounded in this paper and cite their sources.
Infiltrative hepatic angiosarcoma may mimic cirrhosis with ascites; leaves open biopsy thresholds in atypical presentations.
Hepatic angiosarcoma is a rare and aggressive liver tumor. We report a case study of an 82-year-old elderly gentleman who presented with failure to thrive and ascites. Initially suspected to be cirrhosis, biopsy results eventually concluded angiosarcoma of the liver. Our patient presented with an infiltrative form, rather than distinct masses, which led to portal hypertension and ascites. The variance in symptomatology and radiology presentations make a diagnosis of hepatic angiosarcoma challenging and require a high index of suspicion.
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Bae et al. (2024) conducted a case report in Hepatic angiosarcoma (n=1). An 82-year-old man presenting with failure to thrive and ascites was diagnosed with an infiltrative form of hepatic angiosarcoma, highlighting the challenging diagnosis of this rare tumor.
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