title: Hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer.
abstract: 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.
authors.affiliation: Second Department of Internal Medicine, Ehime University School of Medicine, Ehime.
authors.forename: Toru
authors.initials: T
authors.lastname: Kadowaki
authors.forename: Hironobu
authors.initials: H
authors.lastname: Hamada
authors.forename: Akihito
authors.initials: A
authors.lastname: Yokoyama
authors.forename: Ryoji
authors.initials: R
authors.lastname: Ito
authors.forename: Sanae
authors.initials: S
authors.lastname: Ishimaru
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ohnishi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Katayama
authors.forename: Miki
authors.initials: M
authors.lastname: Oshima
authors.forename: Takafumi
authors.initials: T
authors.lastname: Okura
authors.forename: Katsumi
authors.initials: K
authors.lastname: Kito
authors.forename: Jitsuo
authors.initials: J
authors.lastname: Higaki
mesh_terms: 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