Massive haemoperitoneum complicating metastasis in the liver.
The rare phenomenon of gross intra-abdominal bleeding due to hepatic metastasis was seen in a young male who a short time before had undergone orchiectomy because of embryonal cell carcinoma. Following laparotomy, 4 liters of fresh blood were drained from the peritoneal cavity and the left lobe of the liver, containing a single large metastasis, was removed. It is stressed that when no other cause of such haemorrhage can be found in a patient known to have had malignancy, the possibility of bleeding from a metastasis should be considered and appropriate measures taken.
Department of Surgery A, Beilinson Medical Center, Petah Tikva, Israel.
D
D
Ben-Baruch
I
I
Yampolski
Y
Y
Ziv
D000328:Adult; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000556:secondary; D008297:Male; D013724:Teratoma / Q000150:complications / Q000556:secondary; D013736:Testicular Neoplasms / Q000473:pathology