Abstract
Colon carcinoma with liver metastasis is a well recognized entity. However, it occasionally creates some difficulties in making the correct diagnosis. We recently experienced a case of liver metastasis from colon cancer that appeared as infiltrating hepatoma with portal vein thrombosis on abdominal ultrasonography and enhanced computed tomography (CT). This diagnosis was confirmed by CT-guided needle biopsy. Consequently, liver metastasis from colon carcinoma can be misdiagnosed as infiltrating hepatoma with portal vein thrombosis on the basis of abdominal ultrasonography and even enhanced CT scans. To obtain a correct diagnosis, particularly in patients with inconsistent clinical presentations, CT scans or ultrasonographic guided needle biopsy should be mandatory.
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