Undifferentiated Embryonal Sarcoma of the Liver: An Enigma of Diagnosis

• Main Authors: Affirul Chairil Ariffin, Firdaus Mohd Hayati, Nornazirah Azizan, Zamri Zuhdi, Azlanuddin Azman, Hairol Azrin Othman, Razman Jarmin
• Format: Article
• Language: English
• Published: 2018
• Subjects: RC Internal medicine
• Online Access: https://eprints.ums.edu.my/id/eprint/23596/1/Undifferentiated%20Embryonal%20Sarcoma%20of%20the%20Liver.pdf; https://eprints.ums.edu.my/id/eprint/23596/; http://dx.doi.org/10.12996/gmj.2018.97

A 20-year-old man presented with peritonitis requiring emergency laparotomy. He was found to have a huge liver abscess on the right lobe. Open drainage was performed but the abscess was persistently unresolved upon follow up. Computed tomography (CT) revealed a solid liver lesion with raised Ca 19-9. Right hepatectomy was subjected and histology was consistent with a rare and aggressive case of embryonal sarcoma of the liver. Despite oncologic resection, he developed local recurrence and succumbed to death in 6 month postoperatively. We describe a unique aetiology of liver abscess with literature reviews of undifferentiated embryonal sarcoma of the liver.