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Canadian Journal of Gastroenterology
Volume 3, Issue 4, Pages 149-152
http://dx.doi.org/10.1155/1989/595098
Case Record

Metastatic Breast Cancer Presenting as Fulminant Hepatic Failure: A Case Report and Literature Review

Malcolm S. Trimble, Cameron N. Ghent, David R. Grant, and Caroline A. McLean

Departments of Medicine, Surgery and Pathology, University Hospital, London, Ontario, Canada

Received 15 March 1989; Accepted 9 June 1989

Copyright © 1989 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A case of metastatic breast carcinoma presenting as fatal fulminant hepatic failure is presented. The patient did not have previously diagnosed breast cancer and presented with ascites, Jaundice, abdominal pain, nausea, vomiting and hepatic encephalopathy. She died within four weeks of the onset. Seven similar cases previously reported are reviewed. Metastatic carcinoma should he considered in the differential diagnosis of fulminant hepatic failure.