title: Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis.
abstract: Bleeding in patients with liver cirrhosis is primarily caused by gastroesophageal varix in association with extensive collateral circulation, portal hypertensive gastropathy, a Mallory-Weiss tear and peptic ulcer disease. The spontaneous rupture of an artery, as a result of coagulopathy, is extremely rare in patients with liver cirrhosis; however, we recently observed a case of a spontaneous rupture of the lateral thoracic artery in a 47 year-old male patient with alcoholic liver cirrhosis. The patient expired despite repeated transcatheter arterial embolization of the lateral thoracic artery and best supportive care. This is, to our knowledge, the first documented case of the spontaneous rupture of the lateral thoracic artery in a patient with liver cirrhosis.
authors.affiliation: Department of Internal Medicine, Konyang University College of Medicine, Gasoowon-dong, Seo-gu, Daejeon, Korea. green740@naver.com
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Lee
authors.forename: Yong Sung
authors.initials: YS
authors.lastname: Park
authors.forename: Dong Jin
authors.initials: DJ
authors.lastname: Chung
authors.forename: Ji Hyung
authors.initials: JH
authors.lastname: Kim
authors.forename: Sun Moon
authors.initials: SM
authors.lastname: Kim
authors.forename: Euyi Hyeog
authors.initials: EH
authors.lastname: Im
authors.forename: Kyu Chan
authors.initials: KC
authors.lastname: Huh
mesh_terms: D000784:Aortic Dissection / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000209:etiology*; D013895:Thoracic Arteries / Q000473:pathology*; D013997:Time Factors
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