Kundumadam Shanker, Laharwani Hansini, Azhikkalayil Shafeek, Das Gokul
Internal Medicine, Wayne State University School of Medicine, Detroit, USA.
Pathology, University of Mississippi Medical Center (UMMC), Jackson, USA.
Cureus. 2020 Jan 10;12(1):e6620. doi: 10.7759/cureus.6620.
Cervical cancer is well known to cause metastasis in liver. Not usually they present in a pattern of acute hepatitis with the liver enzymes trending above the range of thousands. Here we present an interesting case of a patient who presented as acute hepatitis in the setting of metastatic cervical cancer to the liver. She presented with elevated liver enzymes above thousands. Her imaging studies revealed new metastatic lesions in the liver. She was subsequently started on chemotherapy but unfortunately, two months later developed septic shock and expired. To our knowledge this is the only case describing a malignancy with metastasis to the liver presenting as an acute hepatitis picture. All the other cases that have been described in the literature presented with acute liver failure.
众所周知，宫颈癌会导致肝转移。通常情况下，它们不会表现为急性肝炎的模式，肝酶水平也不会升至数千以上。在此，我们报告一例有趣的病例，一名患者因宫颈癌肝转移而表现为急性肝炎。她的肝酶水平升至数千以上。影像学检查显示肝脏出现新的转移病灶。随后她开始接受化疗，但不幸的是，两个月后出现感染性休克并死亡。据我们所知，这是唯一一例描述恶性肿瘤肝转移表现为急性肝炎的病例。文献中描述的所有其他病例均表现为急性肝衰竭。
