Document Detail

An unusual presentation and way to diagnose hepatocellular carcinoma.
MedLine Citation:
PMID:  15554601     Owner:  NLM     Status:  MEDLINE    
A 67-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with acute progression of dyspnoea, productive cough, fever, elevated central venous pressure, oedema and liver enzyme abnormalities. Pneumonia with secondary right-sided congestive heart failure was considered. Additional abdominal ultrasound examination confirmed by a CT scan showed a mass in the inferior vena cava (VCI) extending into the right atrium. The central liver location and impaired haemostasis rendered liver biopsy impossible. An alternative approach was discussed and guided by two-dimensional transoesophageal electrocardiography accessing the right internal jugular vein, biopsies were taken from the atrial mass with histology suggesting the presence of a hepatocellular carcinoma as the cause of acute dyspnoea.
V M J Novotný; V P M van der Hulst; P A van der Wouw; J L G Blaauwgeers; P H J Frissen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Netherlands journal of medicine     Volume:  62     ISSN:  0300-2977     ISO Abbreviation:  Neth J Med     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-11-19     Completed Date:  2004-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0356133     Medline TA:  Neth J Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  254-6     Citation Subset:  IM    
Department of Internal Medicine, Onze Lieve Vrouwe Gasthuis, PO Box 95500, 1090 HM Amsterdam, the Netherlands.
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MeSH Terms
Carcinoma, Hepatocellular / complications,  diagnosis*
Diagnosis, Differential
Dyspnea / etiology
Pulmonary Disease, Chronic Obstructive / complications

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