Spontaneous hepatic rupture due to metastatic tumor of lung adenocarcinoma.
A 64-year-old man diagnosed as lung adenocarcinoma with hepatic tumor was admitted to our hospital. He carried the hepatitis B virus but was negative for PIVKA-II and alpha-fetoprotein, and hence we diagnosed a case of stage IV lung adenocarcinoma. We planned to administer systemic chemotherapy, but he experienced sudden-onset abdominal discomfort accompanied with decreased blood pressure. We diagnosed hemorrhagic ascites due to spontaneous rupture of the liver tumor. Emergency angiography and therapeutic embolization stabilized his clinical condition. Hemorrhagic ascites due to metastatic liver tumor is rare and the sudden onset of abdominal symptoms is an indicator of rupture.
Sakai
Maiko
M
Department of Internal Medicine and Molecular Science, Nagoya City University Graduate School of Medical Sciences, Nagoya.
Oguri
Tetsuya
T
Sato
Shigeki
S
Hattori
Noriko
N
Bessho
Yuji
Y
Achiwa
Hiroyuki
H
Maeda
Hiroyoshi
H
Niimi
Takashi
T
Ueda
Ryuzo
R
D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D008113:Liver Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary*; D008175:Lung Neoplasms / Q000150:complications / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed