Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review

A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter...

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Autores principales: Mochimaru, Takao, Minematsu, Naoto, Ohsawa, Kazuma, Tomomatsu, Katsuyoshi, Miura, Hiroshi, Betsuyaku, Tomoko, Murakami, Marohito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410483/
https://www.ncbi.nlm.nih.gov/pubmed/28321073
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author Mochimaru, Takao
Minematsu, Naoto
Ohsawa, Kazuma
Tomomatsu, Katsuyoshi
Miura, Hiroshi
Betsuyaku, Tomoko
Murakami, Marohito
author_facet Mochimaru, Takao
Minematsu, Naoto
Ohsawa, Kazuma
Tomomatsu, Katsuyoshi
Miura, Hiroshi
Betsuyaku, Tomoko
Murakami, Marohito
author_sort Mochimaru, Takao
collection PubMed
description A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer.
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spelling pubmed-54104832017-05-15 Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review Mochimaru, Takao Minematsu, Naoto Ohsawa, Kazuma Tomomatsu, Katsuyoshi Miura, Hiroshi Betsuyaku, Tomoko Murakami, Marohito Intern Med Case Report A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer. The Japanese Society of Internal Medicine 2017-03-15 /pmc/articles/PMC5410483/ /pubmed/28321073 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Mochimaru, Takao
Minematsu, Naoto
Ohsawa, Kazuma
Tomomatsu, Katsuyoshi
Miura, Hiroshi
Betsuyaku, Tomoko
Murakami, Marohito
Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
title Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
title_full Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
title_fullStr Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
title_full_unstemmed Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
title_short Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
title_sort hemoperitoneum secondary to rupture of a hepatic metastasis from small cell lung cancer during chemotherapy: a case with a literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410483/
https://www.ncbi.nlm.nih.gov/pubmed/28321073
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