Abnormal liver function found after an unplanned consultation: case presentation

An Unusual Presentation of Primary Hepatic Diffuse Large B-cell Lymphoma of the Liver

“…Our patient’s presentation underscores the importance of considering DLBCL in the absence of solitary or several hepatic lesions, as neither CT nor MRCP revealed discrete lesions in this instance. The differential diagnosis must remain broad and should always include, in addition to lymphoma, other infiltrative processes of the liver including metastatic malignancy, sarcoidosis, tuberculosis, and hemochromatosis [ 4 ]. Klatskin tumor or hilar cholangiocarcinoma should also be considered in a patient with this presentation as an obstruction at the junction of the left and right hepatic ducts can cause jaundice and acute liver failure [ 5 ].…”

BMJ should notify doctors whose practice is criticised in interactive case reports

“…EDITOR—The BMJ recently published an interactive case report from a general practitioner about a patient with itching and gall stones 1 2. Readers were invited to comment on the case using the rapid response feature on bmj.com, and three weeks later the outcome and summary of the responses were published 3…”