At the age of 15, a male patient was injured in an automotive accident. Findings at laparotomy included multiple ruptures of the spleen and a laceration of the left kidney. A splenectomy was performed, the left kidney was sutured and approximately 1500 ml of intra-abdominal blood was aspirated. Thirty years later, he was admitted to the hospital with a left flank stab wound that necessitated abdominal exploration to stem the bleeding. Postoperative investigation for fever of unknown origin included ultrasonography, CT and MRI, which demonstrated two masses in the left upper quadrant, but also two lesions that were apparently in the right lobe of the liver. A radionuclide investigation was performed with liver hemangioma as the provisional diagnosis.
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