Saudi Journal of Gastroenterology
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Year : 2006  |  Volume : 12  |  Issue : 2  |  Page : 95
Multiple irregular liver lesions

Division of Gastroenterology, College of Medicine, King Saud University, Riyadh, Saudi Arabia

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How to cite this article:
Abdo AA. Multiple irregular liver lesions. Saudi J Gastroenterol 2006;12:95

How to cite this URL:
Abdo AA. Multiple irregular liver lesions. Saudi J Gastroenterol [serial online] 2006 [cited 2022 Dec 9];12:95. Available from:

   Case history: Top

A 32 years old female presented with 3 months history offrequent episodes of intermittent fever, rigors, sweating,generalized weakness, malaise, vomiting, and Rt.hypochondrial pain. On examination, she was found to bemalnourished, febrile (38.5 șC), hypotensive (85/55 mmHg),mildly jaundiced with hepatomegaly and a tender right upperquadrant. Initial laboratory investigations showed WBCs:11.5 109/L; 75% Polymorphs, Hb: 86 g/L, Platelets: 482 109/L, INR: 1.1, Urea: 3.1 mmol/L, Creatinine: 75 μmol/L, Bloodglucose: 5.7 mmol/L, ALT: 9 U/L, AST: 25 U/L, ALP: 887U/L, GGT: 285 IU/L, Bilirubin: 31 μmol/L, Albumin: 27 g/L,Amylase: 158 IU/L, Lipase: 279 IU/L. Abdominal ultrasoundshowed multiple irregular hypo-echoic focal lesions mainlyin the Right lobe and a collection in the area of the gallbladder that was drained and sent for culture, which revealedStenotrophomonas maltophilia, many Candida dubliniensis,and many Candida krusei isolated.

   Questions Top

1. What are the different diagnostic possibilities?

2. What are the investigations in Panels A & B, and what did

they show?

3. What is the final diagnosis?

4. What is the definitive treatment of such a case and why?

Correspondence Address:
Ayman A Abdo
P.O. Bob 2925(59), Riyadh 11461
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.27855

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