title: Hemoperitoneum secondary to bleeding of a hepatic metastasis of testicular carcinoma.
abstract: Testicular cancer is the most common type of cancer among young patients. At the moment of diagnosis, between 30% and 50% of them have developed metastases, which affect retroperitoneal lymph nodes and lungs especially. Hepatic compromise is rare and is associated with poor prognosis. Besides this, hepatic lesions can complicate with necrosis and overgrowth, a phenomenon that is mainly seen in primary lesions. Furthermore, bleeding of secondary lesions is very uncommon. We present a case of a patient with massive hemoperitoneum secondary to rupture of hepatic metastatic lesions of a primary testicular tumor.
authors.affiliation: Emergency Department Hospital Ramón Barros Luco-Trudeau, Santiago, Chile.
authors.forename: Gastón
authors.initials: G
authors.lastname: Astroza
authors.affiliation: Emergency Department Hospital Ramón Barros Luco-Trudeau, Santiago, Chile.
authors.forename: Daniella
authors.initials: D
authors.lastname: Espínola
authors.affiliation: Emergency Department Hospital Ramón Barros Luco-Trudeau, Santiago, Chile.
authors.forename: Víctor
authors.initials: V
authors.lastname: Faundes
authors.affiliation: Emergency Department Hospital Ramón Barros Luco-Trudeau, Santiago, Chile.
authors.forename: Juan
authors.initials: J
authors.lastname: Calderón
keywords: choriocarcinoma; hemoperitoneum; packing