Haemoperitoneum Due to Spontaneous Rupture of a Liver Metastasis
  • Christodoulos Dolapsakis
    3rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece
  • Polina Pavli
    3rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece
  • Andreas Panagopoulos
    3rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece
  • Ekaterini Tavernaraki
    Radiology Department, Evangelismos General Hospital, Athens, Greece
  • Georgios Varnavas
    3rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece
  • Androniki Papapostolou
    3rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece
  • Alexandros Machairas
    3rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece

Keywords

Liver, metastasis, rupture, haemoperitoneum

Abstract

Spontaneous rupture of a liver metastasis is a life-threatening complication of metastatic liver disease. Although metastatic liver lesions are much more common than primary tumours, spontaneous rupture of a liver metastasis is rare. Therapeutic decisions must take into account the extent of metastatic liver disease and the patient’s performance status. Transarterial embolization may be considered in cases of ongoing haemorrhage despite initial conservative measures. We describe a case of haemoperitoneum due to spontaneous rupture of a liver metastasis in a 72-year-old patient with carcinoma of unknown origin who responded well to conservative management.

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References

  • Mochimaru T, Minematsu N, Ohsawa K, Tomomatsu K, Miura H, Betsuyaku T, et al. Hemoperitoneum secondary to rupture of a hepatic metastasis from small cell lung cancer during chemotherapy: a case with a literature review. Intern Med2017;56:695–699.

  • Naganuma H, Funaoka M, Fujimori S, Niwa M, Hirano H, Ishida H, et al. Rupture of liver metastasis: report of a case with an emphasis on contrast-enhanced US. J Med Ultrason (2001) 2007;34:113–116.

  • Srinivasa S, Lee WG, Aldameh A, Koea JB. Spontaneous hepatic haemorrhage: a review of pathogenesis, aetiology and treatment. HPB (Oxford) 2015;17:872–880.

  • Sakai M, Oguri T, Sato S, Hattori N, Bessho Y, Achiwa H, et al. Spontaneous hepatic rupture due to metastatic tumor of lung adenocarcinoma. Intern Med 2005;4450–54.

  • Kim HJ, Park YE, Ki MS, Lee SJ, Beom SH, Han DH, et al. Spontaneous rupture of hepatic metastasis from a thymoma: a case report. World J Gastroenterol 2016;22:9860–9864

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    Published: 2019-06-26
    Issue: Vol 6 No 7 (view)

    How to cite:
    1.
    Dolapsakis C, Pavli P, Panagopoulos A, Tavernaraki E, Varnavas G, Papapostolou A, Machairas A. Haemoperitoneum Due to Spontaneous Rupture of a Liver Metastasis. EJCRIM 2019;6 doi:10.12890/2019_001142.