STEVEN J. ROSANSKY, M.D.; CHARLES C. MULLENS, M.D.
The Hepatorenal Syndrome is defined as unexplained renal failure occurring in a patient with cirrhosis of the liver; it rarely occurs without cirrhosis. This syndrome has been reported with hemihepatectomy (1) and neoplastic disease of the liver (2). Metastatic malignancy-associated hepatorenal syndrome in patients with otherwise normal liver parenchyma has been reported previously in only three patients (2). We describe a patient who developed the hepatorenal syndrome associated with an angiosarcoma of the gallbladder that metastasized to the liver.
A 59-year-old man was admitted with a 4-week history of right upper quadrant pain, nausea, and vomiting. The patient denied alcohol
ROSANSKY SJ, MULLENS CC. The Hepatorenal Syndrome Associated with Metastatic Angiosarcoma of the Gallbladder. Ann Intern Med. ;96:191–192. doi: 10.7326/0003-4819-96-2-191
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Published: Ann Intern Med. 1982;96(2):191-192.
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