title: Massive bleeding from a ruptured metastatic hepatic melanoma treated by hepatic lobectomy. Case report and review of the literature.
abstract: An unusual case is reported of an occult, spontaneously rupturing, hemorrhagic, metastatic melanoma of the liver treated by hepatic lobectomy, resulting in short-term survival. A long, symptom-free interval (13 years) after excision of the primary cutaneous lesion (stage I) preceded the appearance of the hepatic metastasis. This case illustrates the need for a careful and thorough history as well as the benefit of prompt hepatic resection for bleeding from ruptured hepatic malignancies.
mesh_terms: D004653:Empyema; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology / Q000601:surgery*; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery*; D008175:Lung Neoplasms; D008545:Melanoma / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D009362:Neoplasm Metastasis; D011183:Postoperative Complications; D012422:Rupture, Spontaneous / Q000209:etiology / Q000601:surgery*; D012888:Skull Neoplasms