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A Spontaneously Ruptured Hepatic Metastasis From a Gastric Gastrointestinal Stromal Tumor That Presented as Hemoperitoneum.

Yoon JH - J Investig Med High Impact Case Rep (2013)

Bottom Line: Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma.A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen.In this article, we report the case of a 65-year-old man with a spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor that presented as hypovolemic shock.

View Article: PubMed Central - PubMed

Affiliation: Inje University, Busan, Korea.

ABSTRACT
Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma. A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen. In this article, we report the case of a 65-year-old man with a spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor that presented as hypovolemic shock. Cross-sectional imaging studies (computed tomography or magnetic resonance imaging) play a significant role in the diagnosis of this condition and guides its management.

No MeSH data available.


Related in: MedlinePlus

On emergency angiography, hepatic tumoral vessels are shown arising from the anterior segmental branches of the right hepatic artery with a pear-shaped region of active contrast leakage (arrow).
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fig2-2324709613512475: On emergency angiography, hepatic tumoral vessels are shown arising from the anterior segmental branches of the right hepatic artery with a pear-shaped region of active contrast leakage (arrow).

Mentions: An emergency angiography showed hepatic tumor vessels emerging from the anterior segmental branches of the right hepatic artery with abnormal pear-shaped active contrast leakage (Figure 2). Diffuse hypervascular tumor staining was present in the right hepatic dome. After superselection of the right hepatic artery with a microcatheter and microguidewire, a mixture of 3 cm3 Lipiodol and 20 mg Doxorubicin (Adriamycin, Ildong, South Korea) was slowly infused. Because most of the Lipiodol mixture leaked, complete occlusion of the feeder vessel at the leakage site was performed using a 50% mixture of n-butyl cyanoacrylate (Histoacryl, B-Braun, Melsungen, Germany).


A Spontaneously Ruptured Hepatic Metastasis From a Gastric Gastrointestinal Stromal Tumor That Presented as Hemoperitoneum.

Yoon JH - J Investig Med High Impact Case Rep (2013)

On emergency angiography, hepatic tumoral vessels are shown arising from the anterior segmental branches of the right hepatic artery with a pear-shaped region of active contrast leakage (arrow).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4528841&req=5

fig2-2324709613512475: On emergency angiography, hepatic tumoral vessels are shown arising from the anterior segmental branches of the right hepatic artery with a pear-shaped region of active contrast leakage (arrow).
Mentions: An emergency angiography showed hepatic tumor vessels emerging from the anterior segmental branches of the right hepatic artery with abnormal pear-shaped active contrast leakage (Figure 2). Diffuse hypervascular tumor staining was present in the right hepatic dome. After superselection of the right hepatic artery with a microcatheter and microguidewire, a mixture of 3 cm3 Lipiodol and 20 mg Doxorubicin (Adriamycin, Ildong, South Korea) was slowly infused. Because most of the Lipiodol mixture leaked, complete occlusion of the feeder vessel at the leakage site was performed using a 50% mixture of n-butyl cyanoacrylate (Histoacryl, B-Braun, Melsungen, Germany).

Bottom Line: Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma.A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen.In this article, we report the case of a 65-year-old man with a spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor that presented as hypovolemic shock.

View Article: PubMed Central - PubMed

Affiliation: Inje University, Busan, Korea.

ABSTRACT
Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma. A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen. In this article, we report the case of a 65-year-old man with a spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor that presented as hypovolemic shock. Cross-sectional imaging studies (computed tomography or magnetic resonance imaging) play a significant role in the diagnosis of this condition and guides its management.

No MeSH data available.


Related in: MedlinePlus