Article Text
Congenital heart disease
Image challenge
Acute-onset abdominal pain in a woman in her 30s
Abstract
Clinical introduction A woman in her 30s presented to the emergency department with sudden-onset abdominal pain with hypotension and tachycardia. She gave a history of congenital heart disease for which she had previously undergone multiple operations. On examination she demonstrated right upper quadrant tenderness. She underwent an urgent multiphase CT (figure 1A–C).
Question What is the underlying liver pathology?
Hepatocellular adenoma
Cholangiocarcinoma
Hepatocellular carcinoma
Focal nodular hyperplasia
Hepatoblastoma
Question
- Fontan physiology