Postgrad Med J 1999;75:567-569
( September )
Self-assessment questions
A rare but important cause of focal hepatic lesions
S Manjunatha, Y L Hockb, A R Cunningtonc
a Manor Hospital,
Walsall, West Midlands, UK Department of
Gastroenterology, b Department
of Histopathology, c Department
of Medicine
Correspondence to: Dr S
Manjunath, Endoscopy Suite, Manor Hospital, Walsall WS2 9PS, UK
Accepted 18 February
1999
| The first 150 words of the full text of this article appear below. |
 |
Introduction |
A 57-year-old man presented with a 3-month history of
right hypochondrial pain which was a constant dull ache often radiating to the back. There was no history of nausea, vomiting, gastrointestinal bleeding, jaundice or weight loss. Clinical examination was
unremarkable apart from hepatomegaly; the liver was felt 2 cm below the
right costal margin with a vertical span of 10 cm and was smooth, firm and non-tender. There were no signs of chronic liver disease. A basic
haematological and biochemical screen was normal, with the exception of
an isolated rise in 
-glutamyl transpeptidase (-GT) at 104 IU/l
(normal 10-50 IU/l). He had not taken any hepatotoxic or
enzyme-inducing drugs. His admitted alcohol intake was less than 15 units per week. An abdominal ultrasound (figure 1) and computed
tomography (CT) (figure 2) were done. A liver biopsy was done under
ultrasound guidance (figure 3). The patient was well after 6 months and
. . . [Full text of this article]
