Acute Liver Failure Secondary to Hepatic Infiltration of Malignant Melanoma

Acute liver failure due to malignant melanoma is uncommon. We presents a case of acute liver failure secondary to hepatic infiltration of a malignant melanoma. An 86-year-old man was admitted with elevated liver enzymes and an increased lactate dehydrogenase level. His condition progressed to acute...

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Veröffentlicht in:Clinical endoscopy 2022-03, Vol.55 (2), p.287-291
Hauptverfasser: Yujin Lee, Jaekwang Lee, Hyunsoo Kim, Changkeun Park, Jaekwon Jung, Daejin Kim, Yun Jin Chung, Hanjun Ryu
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container_end_page 291
container_issue 2
container_start_page 287
container_title Clinical endoscopy
container_volume 55
creator Yujin Lee
Jaekwang Lee
Hyunsoo Kim
Changkeun Park
Jaekwon Jung
Daejin Kim
Yun Jin Chung
Hanjun Ryu
description Acute liver failure due to malignant melanoma is uncommon. We presents a case of acute liver failure secondary to hepatic infiltration of a malignant melanoma. An 86-year-old man was admitted with elevated liver enzymes and an increased lactate dehydrogenase level. His condition progressed to acute liver failure, but the etiology of liver failure was unclear. Esophagogastroduodenoscopy was performed to evaluate dyspepsia, which showed signs indicative of malignant melanoma. Based on the endoscopy findings and elevated liver enzyme levels, liver biopsy was performed to confirm the presence of malignant melanoma. Hepatic infiltration of malignant melanoma was observed histologically. However, massive and diffuse liver metastasis is very rare and difficult to identify on imaging studies. If the etiology of liver failure is unclear, diffuse metastatic melanoma infiltration should be considered as differential diagnosis. Early liver biopsy can help to clarify the diagnosis. Clin Endosc 2022;55:287-291
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subjects Acute liver failure
Hepatic infiltration
Liver biopsy
Malignant melanoma
title Acute Liver Failure Secondary to Hepatic Infiltration of Malignant Melanoma
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