title: Spontaneous hepatic rupture due to metastatic tumor of lung adenocarcinoma.
abstract: 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.
authors.affiliation: Department of Internal Medicine and Molecular Science, Nagoya City University Graduate School of Medical Sciences, Nagoya.
authors.forename: Maiko
authors.initials: M
authors.lastname: Sakai
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Oguri
authors.forename: Shigeki
authors.initials: S
authors.lastname: Sato
authors.forename: Noriko
authors.initials: N
authors.lastname: Hattori
authors.forename: Yuji
authors.initials: Y
authors.lastname: Bessho
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Achiwa
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Maeda
authors.forename: Takashi
authors.initials: T
authors.lastname: Niimi
authors.forename: Ryuzo
authors.initials: R
authors.lastname: Ueda
mesh_terms: 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