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Intrahepatic fetus: unusual image of an intratumoural haemorrhage
  1. Queennie Reyes1,
  2. Manfred Spanger2,
  3. Vijayaragavan Muralidharan3,
  4. Laurence Weinberg1,3
  1. 1Department of Anaesthesia, Austin Hospital, Heidelberg, Victoria, Australia
  2. 2Department of Radiology, Box Hill Hospital, Box Hill, Victoria, Australia
  3. 3Department of Surgery, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia
  1. Correspondence to A/Professor Laurence Weinberg, laurence.weinberg{at}

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A 65-year-old man presented to our institution with acute onset, right upper quadrant pain, on a background of rheumatoid arthritis and asthma. He was a lifelong non-smoker, with minimal alcohol consumption and no intravenous drug use. CT and MRI demonstrated a large tumour involving the entire segment IV of the liver positioned between the middle and the left hepatic veins. A T1-weighted axial MRI at the level of right hepatic vein demonstrated an odd, fetus-like lesion within the mass (figure 1). Junior medical staff questioned whether this could be a primary hepatic pregnancy. However, they were reassured that this image portrayed an intraparenchymal …

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