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Mobile right atrial thrombus with pulmonary thromboembolism in a patient with advanced hepatocellular carcinoma and disseminated tumor thrombosis.

Panduranga P, Al-Mukhaini M, Ratnam L, Al-Harthy S - Heart Views (2011)

Bottom Line: We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss.This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites.Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman.

ABSTRACT
We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss. This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites. Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

No MeSH data available.


Related in: MedlinePlus

Computed tomography imaging showing pulmonary artery segmental emboli (a, arrow heads) and extensive thrombosis of hepatic veins and inferior vena cava (b, arrow heads) in a patient with multifocal hepatocellular carcinoma and disseminated tumor thrombosis
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Figure 3: Computed tomography imaging showing pulmonary artery segmental emboli (a, arrow heads) and extensive thrombosis of hepatic veins and inferior vena cava (b, arrow heads) in a patient with multifocal hepatocellular carcinoma and disseminated tumor thrombosis

Mentions: Computed tomography (CT) pulmonary angiogram revealed bilateral lobar and segmental/sub segmental pulmonary artery embolism [Figure 3a, arrow heads] with no lung metastasis. Triple phase abdominal CT demonstrated enlarged liver with multiple lesions, hepatic vein and IVC enhancing tumor thrombosis [Figure 3b, arrow heads] along with portal vein [Figure 4a, arrow heads] and bilateral femoral vein thrombosis [Figure 4b, arrowheads]. The lesions demonstrated typical arterial phase enhancement and venous/delayed phase washout diagnostic of HCC [The American Association for Study of Liver Diseases (AASLD) guidelines 2010].[1] In addition, there were multiple large paraaortic, aortocaval, and portocaval lymphadenopathy (1.2 cm). Kidney, gall bladder, pancreas, and spleen were normal.


Mobile right atrial thrombus with pulmonary thromboembolism in a patient with advanced hepatocellular carcinoma and disseminated tumor thrombosis.

Panduranga P, Al-Mukhaini M, Ratnam L, Al-Harthy S - Heart Views (2011)

Computed tomography imaging showing pulmonary artery segmental emboli (a, arrow heads) and extensive thrombosis of hepatic veins and inferior vena cava (b, arrow heads) in a patient with multifocal hepatocellular carcinoma and disseminated tumor thrombosis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3345155&req=5

Figure 3: Computed tomography imaging showing pulmonary artery segmental emboli (a, arrow heads) and extensive thrombosis of hepatic veins and inferior vena cava (b, arrow heads) in a patient with multifocal hepatocellular carcinoma and disseminated tumor thrombosis
Mentions: Computed tomography (CT) pulmonary angiogram revealed bilateral lobar and segmental/sub segmental pulmonary artery embolism [Figure 3a, arrow heads] with no lung metastasis. Triple phase abdominal CT demonstrated enlarged liver with multiple lesions, hepatic vein and IVC enhancing tumor thrombosis [Figure 3b, arrow heads] along with portal vein [Figure 4a, arrow heads] and bilateral femoral vein thrombosis [Figure 4b, arrowheads]. The lesions demonstrated typical arterial phase enhancement and venous/delayed phase washout diagnostic of HCC [The American Association for Study of Liver Diseases (AASLD) guidelines 2010].[1] In addition, there were multiple large paraaortic, aortocaval, and portocaval lymphadenopathy (1.2 cm). Kidney, gall bladder, pancreas, and spleen were normal.

Bottom Line: We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss.This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites.Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman.

ABSTRACT
We report a 61-year-old male patient who presented with one month history of exertional dyspnea, persistent dry cough, abdominal pain with distension, poor appetite, and weight loss. This case illustrates a rare presentation of hepatocellular carcinoma with mobile right atrial thrombus and pulmonary embolism along with disseminated tumor thrombosis at multiple sites. Furthermore, this case reiterates that an early detection and diagnosis may have increasing importance in the advent of new therapies for treating advanced hepatocellular carcinoma.

No MeSH data available.


Related in: MedlinePlus