Spontaneous hepatic rupture due to metastatic tumor of lung adenocarcinoma

被引：11

作者：

Sakai, M ^{[1
]}

Oguri, T ^{[1
]}

Sato, S ^{[1
]}

Hattori, N ^{[1
]}

Bessho, Y ^{[1
]}

Achiwa, H ^{[1
]}

Maeda, H ^{[1
]}

Nimi, T ^{[1
]}

Ueda, R ^{[1
]}

机构：

[1] Nagoya City Univ, Grad Sch Med Sci, Dept Internal Med & Mol Sci, Mizuho Ku, Nagoya, Aichi 4678601, Japan

来源：

INTERNAL MEDICINE | 2005年 / 44卷 / 01期

关键词：

lung cancer; metastasis; liver; hemorrhagic ascites; TAE;

D O I：

10.2169/internalmedicine.44.50

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 64-year-old man diagnosed as lung adenocarcinoma with hepatic tumor was admitted to our hospital. He carried the hepatitis B virus but was negative for PIVKA-II and alpha-fetoprotein, and hence we diagnosed a case of stage IV lung adenocarcinoma. We planned to administer systemic chemotherapy, but he experienced sudden-onset abdominal discomfort accompanied with decreased blood pressure. We diagnosed hemorrhagic ascites due to spontaneous rupture of the liver tumor. Emergency angiography and therapeutic embolization stabilized his clinical condition. Hemorrhagic ascites due to metastatic liver tumor is rare and the sudden onset of abdominal symptoms is an indicator of rupture.

引用

页码：50 / 54

页数：5

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