Hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer.
We describe a rare case of hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer. A 72-year-old man with non-small cell lung cancer was admitted to our hospital with sudden onset of right upper abdominal pain and hypovolemic shock. Laboratory tests showed severe anemia. Abdominal contrast-enhanced computed tomography revealed massive ascites and multiple liver metastases. Rupture of a metastatic liver tumor was suspected. Only palliative therapy was performed. The patient's general condition gradually worsened, and he died 2 months after admission. Autopsy examination revealed hemoperitoneum due to a ruptured metastatic liver tumor originating from pulmonary squamous cell carcinoma.
Kadowaki
Toru
T
Second Department of Internal Medicine, Ehime University School of Medicine, Ehime.
Hamada
Hironobu
H
Yokoyama
Akihito
A
Ito
Ryoji
R
Ishimaru
Sanae
S
Ohnishi
Hiroshi
H
Katayama
Hitoshi
H
Oshima
Miki
M
Okura
Takafumi
T
Kito
Katsumi
K
Higaki
Jitsuo
J
D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D008175:Lung Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed