An unusual self-inflicted injury of the breast.

BSP retention at 25 min was 20% (normal 15 %) and 13 % at 45 min (normal < 5%). Her appetite returned with a 7 kg gain in weight. Her abdomen remained distended and her liver easily palpable. Ten months after the initial presentation she was clinically unchanged and still taking occasional analgesics. Her haemoglobin was 12 g/100 ml, alkaline phosphatase 9 King-Armstrong u, negative occult bloods in normal coloured stools and normal serum biochemistry except for a slightly raised 5 nucleotidase at 15 mu/ml (normal 4-i 1). Repeat BSP retention at 25 min was 45% and at 45 min was 40%. Repeat liver scan showed no change in the size of liver but a more extensive patchy impairment of colloid uptake. Laparoscopy showed the right lobe of the liver to be completely encased in fat whilst the left appeared normal. Liver biopsy was unchanged.