Sterile necrosis of the liver due to primary epithelioid haemangio-endothelioma presenting as fever of undetermined origin
de Man, R.A.; Bac, D.J.; van Blankenstein, M.; Zondervan, P.E.
Netherlands Journal of Medicine 45(1): 25-29
1994
ISSN/ISBN: 0300-2977 PMID: 8065481 Document Number: 437242
We report a case of primary epithelioid haemangio-endothelioma of the liver presenting as fever of undetermined origin. Due to the presence of iso-echoic sterile necrosis of the liver no abnormalities were found on four subsequent ultrasonographies of the liver. The definite diagnosis of haemangio-endothelioma was made only after a computerized tomography guided biopsy from the area adjacent to the lesions was stained for Factor VIII. If the latter procedure is omitted, the diagnosis can easily be missed.