A case of hepatic angiosarcoma initially presenting with cholecystitis, and succumbing to fatal hemorrhage from lung metastasis

A 78-year-old male was admitted to our hospital because of right hypochondralgia due to cholecystitis. On admission, plain X-Ps revealed radio-opaque shadows in the right shoulder, liver, spleen, and abdominal lymph nodes, suggesting the deposition of Thorotrast which he was injected 56 years ago. Liver tumors were detected by abdominal ultrasonography, CT and MRI. After admission he suffered from sepsis and DIC, and died of sudden respiratory failure on 27th hospital day. An autopsy revealed liver angiosarcoma with pulmonary bleeding from the lung metastasis, which seemed responsible for his sudden respiratory failure, and thyroid cancer.