CASE REPORT: Haemothorax due to hepatocellular carcinoma rupture successfully controlled by transcatheter arterial embolization
ABSTRACT A 64‐year‐old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver and lung. On the seventh hospital day, a chest radiograph showed a marked increase in right pleural effusion. A thoracentesis revealed a haemothorax. Despite repeated pleural tap...
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| Veröffentlicht in: | Journal of gastroenterology and hepatology 1997-02, Vol.12 (2), p.156-158 |
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| container_title | Journal of gastroenterology and hepatology |
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| creator | MASUMOTO, AKIHIDE MOTOMURA, KENTA UCHIMURA, KOUTARO MOROTOMI, IKUO MORITA, KAZUNORI |
| description | ABSTRACT
A 64‐year‐old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver and lung. On the seventh hospital day, a chest radiograph showed a marked increase in right pleural effusion. A thoracentesis revealed a haemothorax. Despite repeated pleural taps and blood transfusions, the patient's clinical status worsened and he developed severe dyspnoea. An inferior phrenic arteriography on the 19th hospital day showed a tumour growing over the diaphragm into the right thoracic cavity, suggesting a tumour rupture. A transcatheter arterial embolization (TAE) of the inferior phrenic artery successfully controlled the bleeding and improved the haemothorax. There was no rebleeding; however, the patient died of advanced HCC 3 months later. To our knowledge, this is the first case of a haemothorax secondary to a ruptured HCC that was treated successfully with TAE. |
| doi_str_mv | 10.1111/j.1440-1746.1997.tb00399.x |
| format | Article |
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A 64‐year‐old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver and lung. On the seventh hospital day, a chest radiograph showed a marked increase in right pleural effusion. A thoracentesis revealed a haemothorax. Despite repeated pleural taps and blood transfusions, the patient's clinical status worsened and he developed severe dyspnoea. An inferior phrenic arteriography on the 19th hospital day showed a tumour growing over the diaphragm into the right thoracic cavity, suggesting a tumour rupture. A transcatheter arterial embolization (TAE) of the inferior phrenic artery successfully controlled the bleeding and improved the haemothorax. There was no rebleeding; however, the patient died of advanced HCC 3 months later. To our knowledge, this is the first case of a haemothorax secondary to a ruptured HCC that was treated successfully with TAE.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/j.1440-1746.1997.tb00399.x</identifier><identifier>PMID: 9083917</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Angiography ; Carcinoma, Hepatocellular - complications ; Diaphragm - blood supply ; Diaphragm - diagnostic imaging ; Embolization, Therapeutic ; haemothorax ; Hemothorax - diagnostic imaging ; Hemothorax - etiology ; hepatocellular carcinoma ; Humans ; inferior phrenic artery ; Liver Neoplasms - complications ; Male ; Middle Aged ; Radiography, Thoracic ; Rupture, Spontaneous ; transcatheter arterial embolization</subject><ispartof>Journal of gastroenterology and hepatology, 1997-02, Vol.12 (2), p.156-158</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2546-d29de17262e93d8318a8b31cc7e28d382226b778e2cc984583d6ec114c9a097b3</citedby><cites>FETCH-LOGICAL-c2546-d29de17262e93d8318a8b31cc7e28d382226b778e2cc984583d6ec114c9a097b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-1746.1997.tb00399.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-1746.1997.tb00399.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9083917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MASUMOTO, AKIHIDE</creatorcontrib><creatorcontrib>MOTOMURA, KENTA</creatorcontrib><creatorcontrib>UCHIMURA, KOUTARO</creatorcontrib><creatorcontrib>MOROTOMI, IKUO</creatorcontrib><creatorcontrib>MORITA, KAZUNORI</creatorcontrib><title>CASE REPORT: Haemothorax due to hepatocellular carcinoma rupture successfully controlled by transcatheter arterial embolization</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>ABSTRACT
A 64‐year‐old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver and lung. On the seventh hospital day, a chest radiograph showed a marked increase in right pleural effusion. A thoracentesis revealed a haemothorax. Despite repeated pleural taps and blood transfusions, the patient's clinical status worsened and he developed severe dyspnoea. An inferior phrenic arteriography on the 19th hospital day showed a tumour growing over the diaphragm into the right thoracic cavity, suggesting a tumour rupture. A transcatheter arterial embolization (TAE) of the inferior phrenic artery successfully controlled the bleeding and improved the haemothorax. There was no rebleeding; however, the patient died of advanced HCC 3 months later. To our knowledge, this is the first case of a haemothorax secondary to a ruptured HCC that was treated successfully with TAE.</description><subject>Angiography</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Diaphragm - blood supply</subject><subject>Diaphragm - diagnostic imaging</subject><subject>Embolization, Therapeutic</subject><subject>haemothorax</subject><subject>Hemothorax - diagnostic imaging</subject><subject>Hemothorax - etiology</subject><subject>hepatocellular carcinoma</subject><subject>Humans</subject><subject>inferior phrenic artery</subject><subject>Liver Neoplasms - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography, Thoracic</subject><subject>Rupture, Spontaneous</subject><subject>transcatheter arterial embolization</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkEFv0zAYhi0EGqXwE5AsDtwS7DiJ7R2QpqpLmSY2xhASF8txvqopTtzZjmi58NeXqFXv-PD58H7vY_lB6AMlKR3Pp21K85wklOdlSqXkaawJYVKm-xdodo5eohkRtEgko_I1ehPClhCSE15coAtJBJOUz9C_xdX3JX5Y3t89PF7ilYbOxY3zeo-bAXB0eAM7HZ0BawerPTbam7Z3ncZ-2MXBAw6DMRDCerD2gI3ro3fWQoPrA45e98HouIEIHms_zlZbDF3tbPtXx9b1b9GrtbYB3p3uOfpxvXxcrJLbu-rL4uo2MVmRl0mTyQYoz8oMJGsEo0KLmlFjOGSiYSLLsrLmXEBmjBR5IVhTgqE0N1ITyWs2Rx-P3J13TwOEqLo2TL_SPbghKC6EJGTszdHlcdF4F4KHtdr5ttP-oChRk321VZNiNSlWk311sq_2Y_n96ZWh7qA5V0-6x_zzMf_TWjj8B1ndVCtalCMgOQLaEGF_Bmj_W5Wc8UL9_FqpanGfV9_ItfrFngHYnKZS</recordid><startdate>199702</startdate><enddate>199702</enddate><creator>MASUMOTO, AKIHIDE</creator><creator>MOTOMURA, KENTA</creator><creator>UCHIMURA, KOUTARO</creator><creator>MOROTOMI, IKUO</creator><creator>MORITA, KAZUNORI</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199702</creationdate><title>CASE REPORT: Haemothorax due to hepatocellular carcinoma rupture successfully controlled by transcatheter arterial embolization</title><author>MASUMOTO, AKIHIDE ; MOTOMURA, KENTA ; UCHIMURA, KOUTARO ; MOROTOMI, IKUO ; MORITA, KAZUNORI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2546-d29de17262e93d8318a8b31cc7e28d382226b778e2cc984583d6ec114c9a097b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Angiography</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Diaphragm - blood supply</topic><topic>Diaphragm - diagnostic imaging</topic><topic>Embolization, Therapeutic</topic><topic>haemothorax</topic><topic>Hemothorax - diagnostic imaging</topic><topic>Hemothorax - etiology</topic><topic>hepatocellular carcinoma</topic><topic>Humans</topic><topic>inferior phrenic artery</topic><topic>Liver Neoplasms - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiography, Thoracic</topic><topic>Rupture, Spontaneous</topic><topic>transcatheter arterial embolization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MASUMOTO, AKIHIDE</creatorcontrib><creatorcontrib>MOTOMURA, KENTA</creatorcontrib><creatorcontrib>UCHIMURA, KOUTARO</creatorcontrib><creatorcontrib>MOROTOMI, IKUO</creatorcontrib><creatorcontrib>MORITA, KAZUNORI</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MASUMOTO, AKIHIDE</au><au>MOTOMURA, KENTA</au><au>UCHIMURA, KOUTARO</au><au>MOROTOMI, IKUO</au><au>MORITA, KAZUNORI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CASE REPORT: Haemothorax due to hepatocellular carcinoma rupture successfully controlled by transcatheter arterial embolization</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>1997-02</date><risdate>1997</risdate><volume>12</volume><issue>2</issue><spage>156</spage><epage>158</epage><pages>156-158</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>ABSTRACT
A 64‐year‐old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver and lung. On the seventh hospital day, a chest radiograph showed a marked increase in right pleural effusion. A thoracentesis revealed a haemothorax. Despite repeated pleural taps and blood transfusions, the patient's clinical status worsened and he developed severe dyspnoea. An inferior phrenic arteriography on the 19th hospital day showed a tumour growing over the diaphragm into the right thoracic cavity, suggesting a tumour rupture. A transcatheter arterial embolization (TAE) of the inferior phrenic artery successfully controlled the bleeding and improved the haemothorax. There was no rebleeding; however, the patient died of advanced HCC 3 months later. To our knowledge, this is the first case of a haemothorax secondary to a ruptured HCC that was treated successfully with TAE.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9083917</pmid><doi>10.1111/j.1440-1746.1997.tb00399.x</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of gastroenterology and hepatology, 1997-02, Vol.12 (2), p.156-158 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Angiography Carcinoma, Hepatocellular - complications Diaphragm - blood supply Diaphragm - diagnostic imaging Embolization, Therapeutic haemothorax Hemothorax - diagnostic imaging Hemothorax - etiology hepatocellular carcinoma Humans inferior phrenic artery Liver Neoplasms - complications Male Middle Aged Radiography, Thoracic Rupture, Spontaneous transcatheter arterial embolization |
| title | CASE REPORT: Haemothorax due to hepatocellular carcinoma rupture successfully controlled by transcatheter arterial embolization |
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