A 41-year-old woman presents with a sudden onset of abdominal pain approximately an hour before coming to the emergency department. She denies previous abdominal complaints. On evaluation, her systolic blood pressure is 88 mmHg and becomes stable at 120 mmHg after the infusion of 2 L of intravenous fluid. Her abdominal examination demonstrates no peritoneal signs, her bowel sounds are hypoactive, and there is mild right upper quadrant tenderness. Her hematocrit value is 22%.
A CT scan is performed and demonstrates free intra-abdominal blood and a 5 cm solid mass in the right hepatic lobe with evidence of recent bleeding into the mass. She denies any history of recent trauma, weight loss, change in bowel habits, hematemesis, or hematochezia. What is your diagnosis for this patient? *This case is from the Editorial Team of Docplexus and is meant for educational purposes only. Source:…
