Man 35 yo, onset epigatric pain and fever. Ultrasound of abdomen detected one mass at left lobe of liver, size 10cm, structure looked like target..ring (US 1), US 2: color Doppler shows the left portal vein branch thrombosis; US 3= normal flow of hepatic vein.
Blood tests: WBC = 16,9k with neutro 12,9k, CRP= 243 ng/ml; sero amibe is negative, Wako test triple negative, dDmer is very high.
MSCT CE..presented the mass has central necrosis ( CT1), CT 2= thrombosis of left branch of portal vein (CT3, CT 4).
What is your suggestion for diagnosis,based on clinical status of US, LAB, CT.
Operation for left hepatectomy showed big liver tumor not changing the liver surface and peritoneum.
Operation for left hepatectomy showed big liver tumor not changing the liver surface and peritoneum.