title: [Tumoral microembolism and cor-pulmonar as manifestation of hepatocelular carcinoma].
abstract: The tumour pulmonary micro-embolism is a rare condition characterized by the occlusion of pulmonary small arteries, arteriolas, and alveolar capillaries septales, accompanied of trombosis. Occasionally the development of pulmonary hypertension is the first manifestation of an occult neoplasia, in series of autopsies, an incidence from 3 to 26% has been reported in solid tumors, being clinical evident in 8%. Few cases have documented the development of this condition in patients with carcinoma hepatocelular, we report the case of a 16-year-old male who comes to the emergency with signs of cardiac insufficiency and cor pulmonare whose anatomopatological study confirmed a tumour massive microembolic compromise at pulmonary level and hepatocarcinoma.
authors.affiliation: Medicina Interna, Universidad Nacional Mayor de San Marcos, Hospital Nacional Arzobispo Loayza.
authors.forename: Carlos Gilberto
authors.initials: CG
authors.lastname: Canelo Aybar
authors.forename: José Luís
authors.initials: JL
authors.lastname: Cuadra Urteaga
authors.forename: F
authors.initials: F
authors.lastname: Fujii
authors.forename: Franco
authors.initials: F
authors.lastname: Romaní Romaní
authors.forename: Fernando Alonso
authors.initials: FA
authors.lastname: Atencia Matute
authors.forename: Rogger Oscar
authors.initials: RO
authors.lastname: Verona Rubio
mesh_terms: D000293:Adolescent; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology*; D008297:Male; D009360:Neoplastic Cells, Circulating; D011655:Pulmonary Embolism / Q000209:etiology*; D011660:Pulmonary Heart Disease / Q000209:etiology*