Propranolol for the Treatment of Hemangiomatosis with Hepatic Lesions: Case Report with Great Response

Abstract Background The percutaneous approach allows for effective and safe treatment of liver lesions. But in case of subcapsular or left segments location, this approach seems to be less effective or unsafe. Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) is a new technique used to treat pancreatic and neuroendocrine tumors in patients unfit for surgery. Methods Hereby, we describe the case of a 70-year-old patient with cirrhosis with a large subcapsular hepatocellular carcinoma (HCC) in II-III-IVb segments, in which surgery or percutaneous therapies were not feasible, treated with EUS-RFA. The HCC was treated using an EUS-RFA (EUSRA) system, which consists of a 19G water-cooled monopolar RFA needle and a dedicated generator system. Results After a multidisciplinary discussion, the lesion was ablated in two different sessions, which resulted in destruction of about 70 % of neoplastic tissue. A second step surgery was required but initially refused by the patient. Conclusions EUS-RFA could be an effective way to treat left hepatic lesions not manageable with conventional percutaneous methods. This case report does not highlight concerns about safety of this approach and this observation needs to be validated in a larger cohort of patients with cirrhosis.

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An Atypical Case of Bartonella henselae Osteomyelitis and Hepatic Disease

Case Reports in Pediatrics ◽

10.1155/2018/2750275 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Dionna M. Mathews ◽

Katie M. Vance ◽

Pamela M. McMahon ◽

Catherine Boston ◽

Michael T. Bolton

Keyword(s):

Case Report ◽

Female Patient ◽

Bartonella Henselae ◽

Hepatic Disease ◽

Cat Scratch Disease ◽

Negative Bacterium ◽

Gram Negative ◽

Atypical Case ◽

Hepatic Lesions ◽

Atypical Presentations

Bartonella henselae is a Gram-negative bacterium and the causative agent of cat scratch disease (CSD). Atypical presentations of B. henselae that involve the musculoskeletal, hepatosplenic, cardiac, or neurologic systems are rare. In this case report, we describe a case of B. henselae osteomyelitis involving bilateral iliac bones complicated by hepatic lesions in a 12-year-old immunocompetent female patient. Although B. henselae is a rare cause of osteomyelitis, it should be considered when patients who present with fever, pain, and lymphadenopathy do not respond to routine osteomyelitis therapy.

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A Case Report of an Unresectable Gall Bladder Cancer which Showed Great Response by Gemcitabine

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.39.1397 ◽

2006 ◽

Vol 39 (8) ◽

pp. 1397-1402

Author(s):

Kiyokazu Hiwatashi ◽

Hiroyuki Shinchi ◽

Kose Maemura ◽

Yoshihisa Umekita ◽

Fumitake Kubo ◽

...

Keyword(s):

Bladder Cancer ◽

Case Report ◽

Gall Bladder ◽

Gall Bladder Cancer ◽

Great Response

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Hepatocellular carcinoma presenting with pyrexia and leukocytosis: A case report

Medicinski pregled ◽

10.2298/mpns1702048s ◽

2017 ◽

Vol 70 (1-2) ◽

pp. 48-52

Author(s):

Srdjan Stosic ◽

Sanja Stojanovic ◽

Stevan Idjuski ◽

Jelena Stosic

Keyword(s):

Hepatocellular Carcinoma ◽

Case Report ◽

Liver Abscess ◽

Therapeutic Response ◽

Left Lobe ◽

Focal Lesion ◽

Abdominal Ultrasonography ◽

Focal Hepatic Lesions ◽

Hepatic Lesions

Introducion. This type of hepatocellular carcinoma is characterized by fever and persistent leukocytosis. Case report. This is a report of a patient with a long term fever accompanied by persistent leukocytosis. Abdominal ultrasonography revealed a focal lesion in the left hepatic lobe, whereas, computed tomography/magnetic resonance imaging findings were consistent with a liver abscess. The patient received therapy for liver abscess, without improvement. He underwent left lobe segmentectomy 3, with histological features of hepatocellular carcinoma (pseudoglandular type). Conclusion. In patients with focal hepatic lesions accompanied with raised temeparature and persistent leukocytosis, without adequate therapeutic response, this clinicopathological type of hepatocellular carcinoma should be considered.

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MM-021: Case Report: Successful Management of Hepatic Lesions Secondary to Multiple Myeloma (MM) with Lenalidomide and Dexamethasone

Clinical Lymphoma Myeloma & Leukemia ◽

10.1016/s2152-2650(20)30915-0 ◽

2020 ◽

Vol 20 ◽

pp. S286-S287

Author(s):

Nour A.Haidar ◽

Fadi Farhat ◽

Tarek Assi

Keyword(s):

Multiple Myeloma ◽

Case Report ◽

Successful Management ◽

Hepatic Lesions

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Case Report of Primary Hepatic Actinomycosis: A Rare Cause of Hepatic Lesions

The American Journal of Gastroenterology ◽

10.14309/00000434-201810001-02445 ◽

2018 ◽

Vol 113 (Supplement) ◽

pp. S1361

Author(s):

Veronica Beyley-Pagan

Keyword(s):

Case Report ◽

Hepatic Actinomycosis ◽

Hepatic Lesions

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A Rare Association of Multiple Hepatic Lesions: Case Report and Literature Review

Journal of Interdisciplinary Histopathology ◽

10.5455/jihp.20130528053607 ◽

2014 ◽

Vol 2 (1) ◽

pp. 41

Author(s):

Faten Limaiem ◽

Faten Gargouri ◽

Ins Haddad ◽

Saadia Bouraoui ◽

Ahlem Lahmar ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Rare Association ◽

Hepatic Lesions

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A case of infective colitis due to Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver occult metastases: a case report

BMC Infectious Diseases ◽

10.1186/s12879-021-06177-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rosario Luca Norrito ◽

Chiara Pintus ◽

Marco Cataldi ◽

Alessandro Del Cuore ◽

Mario Daidone ◽

...

Keyword(s):

Case Report ◽

Yersinia Enterocolitica ◽

White Blood Cells ◽

Stroke Care ◽

Final Diagnosis ◽

Antimicrobial Treatment ◽

Neoplastic Disease ◽

Hepatic Lesions ◽

Wbc Count ◽

Multiple Liver Metastases

Abstract Background We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen. Case presentation The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico “P. Giaccone” in Palermo because of the appearance of diarrhoea. After the antimicrobial treatment for infective colitis, the clinicians observed a persistently increased white blood cells (WBC) count and multiple hepatic lesions; after having excluded any neoplastic disease and inflammatory bowel disease (IBD), blood cultures positive for Y. enterocolitica allowed to establish the final diagnosis was infective micro liver abscesses consequent to infective colitis due to Y. enterocolitica, which were successfully treated with cefixime and doxycycline. Conclusions This case report should make clinicians reflect on how complex the differential diagnosis between microliver abscesses and metastasis could be and the possibility of bacteriaemia by Y. enterocolitica even without iron overload conditions.

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Malignant melanoma with liver and spleen metastases: case report

Sao Paulo Medical Journal ◽

10.1590/s1516-31802000000200006 ◽

2000 ◽

Vol 118 (2) ◽

pp. 53-56 ◽

Cited By ~ 5

Author(s):

Laura Cotta Ornellas ◽

Valéria Pereira Lanzoni ◽

Carlos Fischer de Toledo

Keyword(s):

Case Report ◽

Malignant Melanoma ◽

Histological Analysis ◽

Skin Diseases ◽

Primary Melanoma ◽

Distant Metastases ◽

Melanoma Diagnosis ◽

Melanoma Metastases ◽

The Usa ◽

Hepatic Lesions

CONTEXT: The diagnosis of primary melanoma is easily confirmed after histological analysis of the lesion, whereas it is rarely diagnosed when the patient even has distant metastases. DESIGN: Case report CASE REPORT: Malignant melanoma is responsible for about 1% of all deaths caused by cancer in the USA and only 3% of all malig-nant skin diseases. Malignant melanoma is a rare disease, although it corresponds to 65% of all deaths caused by skin cancer. The liver and spleen are rarely the first sites of melanoma metastases. This paper reports on the clinical picture of a patient with fatal malignant melanoma and hepatic and spleen metastases. As this was an un-usual presentation, the melanoma diagnosis could only be made after pathological analysis of the skin and hepatic lesions.

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