RT Journal Article
SR Electronic
T1 Acute-onset abdominal pain in a woman in her 30s
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 275
OP 322
DO 10.1136/heartjnl-2018-313691
VO 105
IS 4
A1 Rory O’Donohoe
A1 Samantha Fitzsimmons
A1 Timothy J C Bryant
YR 2019
UL http://heart.bmj.com/content/105/4/275.abstract
AB 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).Figure 1 (A) Arterial phase coronal CT. (B) Arterial phase axial CT. (C) Portal venous phase axial CT.Question What is the underlying liver pathology?Hepatocellular adenomaCholangiocarcinomaHepatocellular carcinomaFocal nodular hyperplasiaHepatoblastomaQuestion