PRIMARY HEPATIC LYMPHOMA - UNUSUAL PRESENTATION AND CLINICAL COURSE

Although primary hepatic lymphoma is rare, it should be considered in the differential diagnosis of a hepatic tumor, because it is usually a ssociated with a favorable prognosis. This report describes an unusual case of primary hepatic lymphoma with an atypical presentation (only mild, right upper quadrant pain and no hepatomegaly) followed by acute fulminating hepatic failure, metabolic acidosis, followed by a rapidl y fatal course. A review of the literature and discussion of the disea se are also presented.