title: Hemoperitoneum secondary to spontaneous rupture of metastatic gastric leiomyosarcoma of the liver: report of a case.
abstract: Hepatic rupture with resulting hemoperitoneum due to metastatic cancer is uncommon. Reports in the literature have described a wide variety of neoplasms causing this usually fatal phenomenon. We describe a rare case of spontaneous rupture of hepatic metastases from gastric leiomyosarcoma. A 72-year-old male patient with sudden onset severe epigastric pain was rushed into emergency service. After examination, the patient underwent urgent operation with possible diagnosis of perforated gastric or duodenal ulcer. During exploration, we determined bleeding mass on the diaphragmatic side of the left lobe of the liver and a mass on the posterior wall of the stomach. Hemostasis was provided.
authors.affiliation: Department of General Surgery, Atatürk Teaching and Research Hospital, Ankara, Turkey. gultenkiyak@yahoo.com
authors.forename: Gülten
authors.initials: G
authors.lastname: Kiyak
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ozer
authors.forename: Ahmet
authors.initials: A
authors.lastname: Gürer
authors.forename: Ali Onder
authors.initials: AO
authors.lastname: Devay
authors.forename: Aylin
authors.initials: A
authors.lastname: Yazgan
mesh_terms: D000368:Aged; D002425:Cautery; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006489:Hemostatic Techniques; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000556:secondary; D008026:Ligation; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications* / Q000556:secondary; D008297:Male; D012421:Rupture; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology; D014463:Ultrasonography