Hepatic encephalopathy and orotic aciduria associated with hepatocellular carcinoma in a noncirrhotic liver
Lennox J. Jeffers, Richard A. Dubow, Leslie Zieve, K. Rajender Reddy, Alan S. Livingstone, Sidney Neimark, Manuel Viamonte, Eugene R. Schiff – 1 January 1988 – A 40‐yr‐old man presented with encephalopathy and was found to have hepatocellular carcinoma without cirrhosis. A large vascular hepatic mass was defined by CT scan and angiography; laparoscopy with biopsy confirmed the absence of chronic liver disease. A definitive tissue diagnosis of hepatocellular carcinoma was made at laparotomy; the tumor was unresectable.