The non-specific radiological findings lead to a CT guided liver lesion core biopsy with pathology results of infarcted liver tissue. She was then taken to surgery and a laparoscopic partial hepatectomy procedure was performed, which found a twisted segment 5 of the liver, likely an infarcted segment.

Pathology results post surgery of right liver lobe resection:

Liver tissue with ischemic changes and associated with recent hemorrhage. There is no evidence of a neoplastic process. The findings are compatible with hepatic infarct.

Radiologic, surgical and pathological findings are constant for liver segmental torsion with segmental hepatic infarct.