Spontaneous hemoperitoneum from hepatic metastatic trophoblastic tumor

Liu, Yahui; Ma, Hong-Xi; Ji, Bing; Cao, Donghui

doi:10.3748/wjg.v18.i31.4237

Cited by 12 publications

(3 citation statements)

References 13 publications

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“…Thus, in emergencies, TAE is frequently performed as initial therapy. Hemoperitoneum secondary to hepatic metastasis from a choriocarcinoma and a gastrointestinal stromal tumor has been successfully treated with TAE[2,8]. However, care should be taken, as artery embolization is associated with complications, such as re-bleeding and peritoneal seeding.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of hepatic metastasis from a thymoma: A case report

Kim

Park

et al. 2016

WJG

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Bleeding resulting from spontaneous rupture of the liver is an infrequent but potentially life threatening complication that may be associated with an underlying liver disease. A hepatocellular carcinoma or hepatic adenoma is frequently reported is such cases. However, hemoperitoneum resulting from a hepatic metastatic thymoma is extremely rare. Here, we present a case of a 62-year-old man with hypovolemic shock induced by ruptured hepatic metastasis from a thymoma. At the first hospital admission, the patient had a 45-mm anterior mediastinal mass that was eventually diagnosed as a type A thymoma. The mass was excised, and the patient was disease-free for 6 years. He experienced sudden-onset right upper quadrant pain and was again admitted to our hospital. We noted large hemoperitoneum with a 10-cm encapsulated mass in S5/8 and a 2.3-cm nodular lesion in the right upper quadrant of the abdomen. He was diagnosed with hepatic metastasis from the thymoma, and he underwent chemotherapy and surgical excision.

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Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of hepatic metastasis from a thymoma: A case report

Kim

Park

et al. 2016

WJG

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“…Superior mesenteric artery branch aneurysms are an extremely uncommon cause of spontaneous hemoperitoneum(SP). CT scans play an important role in establishing the diagnosis of SP, indicating the origin and determining the subsequent management of SP (1).…”

Section: Picturementioning

confidence: 99%

Superior Mesenteric Artery Branch Aneurysm with Spontaneous Hemoperitoneum

et al. 2013

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A 70-year-old man without any particular medical history or past trauma was referred to our hospital with a complaint of intermittent epigastric pain lasting for 1 day. On admission, his vital signs were stable, and he exhibited diffuse abdominal tenderness without distention, rebound or guarding. Except for a decreased level of hemoglobin at 105 g/L, all the laboratory values were within the normal ranges. Abdominal computed tomography (CT) revealed the presence of an ill-demarcated hyperdense mass inseparable from the small bowel mesentery(Picture A). Contrast-enhanced CT revealed a mesenteric hematoma accompanying with a mesenteric branch artery aneurysm (Picture B-D). As the patient was hemodynamically stable, his family refused surgery and embolization. His symptoms subsided with conservative

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“…Spontaneous hemoperitoneum is described as the presence of blood in the peritoneal cavity that is not associated with traumas. The phenomenon can be idiopathic or related to spontaneous rupture of either known or unknown pathology [1]. The cause of nontraumatic spontaneous hemoperitoneum can be classified as vascular, hematological, hepatic, splenic, gynecological, and inflammatory or coagulation disorder or cryptogenic disease [2].…”

Section: Introductionmentioning

confidence: 99%