Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review
A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter...
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| Veröffentlicht in: | Internal Medicine 2017/03/15, Vol.56(6), pp.695-699 |
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| creator | Mochimaru, Takao Minematsu, Naoto Ohsawa, Kazuma Tomomatsu, Katsuyoshi Miura, Hiroshi Betsuyaku, Tomoko Murakami, Marohito |
| description | A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer. |
| doi_str_mv | 10.2169/internalmedicine.56.6828 |
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Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.56.6828</identifier><identifier>PMID: 28321073</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aged ; Ascites ; Case Report ; Chemotherapy ; Computed tomography ; Embolization ; Embolization, Therapeutic - methods ; Hemoperitoneum ; Hemoperitoneum - etiology ; Hemoperitoneum - therapy ; Hemorrhage ; Hepatic artery ; Hepatic Artery - pathology ; hepatic metastasis ; Hepatocellular carcinoma ; Humans ; Hypotension ; Internal medicine ; Literature reviews ; Liver ; Liver cancer ; Liver Neoplasms - complications ; Liver Neoplasms - secondary ; Liver Neoplasms - therapy ; Lung cancer ; Lung Neoplasms - drug therapy ; Lung Neoplasms - pathology ; Male ; Medical personnel ; Metastases ; Metastasis ; Rupture ; Rupture, Spontaneous - etiology ; Rupture, Spontaneous - therapy ; Small cell lung carcinoma ; Small Cell Lung Carcinoma - drug therapy ; Small Cell Lung Carcinoma - pathology ; Tomography, X-Ray Computed - adverse effects ; transcatheter arterial embolization</subject><ispartof>Internal Medicine, 2017/03/15, Vol.56(6), pp.695-699</ispartof><rights>2017 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c642t-a2f528050b3b79b696464205648b3914294d6afb1518469d8e54d83767cf505e3</citedby><cites>FETCH-LOGICAL-c642t-a2f528050b3b79b696464205648b3914294d6afb1518469d8e54d83767cf505e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410483/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410483/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28321073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mochimaru, Takao</creatorcontrib><creatorcontrib>Minematsu, Naoto</creatorcontrib><creatorcontrib>Ohsawa, Kazuma</creatorcontrib><creatorcontrib>Tomomatsu, Katsuyoshi</creatorcontrib><creatorcontrib>Miura, Hiroshi</creatorcontrib><creatorcontrib>Betsuyaku, Tomoko</creatorcontrib><creatorcontrib>Murakami, Marohito</creatorcontrib><title>Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer.</description><subject>Aged</subject><subject>Ascites</subject><subject>Case Report</subject><subject>Chemotherapy</subject><subject>Computed tomography</subject><subject>Embolization</subject><subject>Embolization, Therapeutic - methods</subject><subject>Hemoperitoneum</subject><subject>Hemoperitoneum - etiology</subject><subject>Hemoperitoneum - therapy</subject><subject>Hemorrhage</subject><subject>Hepatic artery</subject><subject>Hepatic Artery - pathology</subject><subject>hepatic metastasis</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Hypotension</subject><subject>Internal medicine</subject><subject>Literature reviews</subject><subject>Liver</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - therapy</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - drug therapy</subject><subject>Lung Neoplasms - pathology</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Rupture</subject><subject>Rupture, Spontaneous - etiology</subject><subject>Rupture, Spontaneous - therapy</subject><subject>Small cell lung carcinoma</subject><subject>Small Cell Lung Carcinoma - drug therapy</subject><subject>Small Cell Lung Carcinoma - pathology</subject><subject>Tomography, X-Ray Computed - adverse effects</subject><subject>transcatheter arterial embolization</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUl2L1DAULaK44-pfkIAvvsyYjyZNfBCWQR1hVFj1OaTt7UyGNqlJusv-B3-0qTMOuvgghBuSe-65X6coEMErSoR6ZV2C4Ew_QGsb62DFxUpIKh8UC8JKtawo4w-LBVZELmk2F8WTGA8YM1kp-ri4oJJRgiu2KH5sYPAjBJu8g2lAX6DxrjXhDiWPrqcxTQGQ75BBGxhNsg36CMnEfGxEXfA5YjB9j9aQzXZyO7Q2roGA2inY-bXP_GkPwYx3r9FV9kZAtzbtM-PW5i7MrwzXcGPh9mnxqDN9hGen-7L49u7t1_Vmuf38_sP6artsREnT0tCOU4k5rlldqVooUeZ_zEUpa6ZISVXZCtPVhBNZCtVK4GUrWSWqpuOYA7ss3hx5x6nOI2zApWB6PQY75M61N1b_7XF2r3f-RvOS4FKyTPDyRBD89wli0oONTR6BceCnqInMQ-dMyuo_oJUSIpc8s764Bz34aV5z1JTmRqhSnGaUPKKa4GMM0J3rJljP6tD31aG50LM6cujzP_s-B_6WQwZ8OgIOecM7OANMyJvv4d_MszllOAObvQkaHPsJIK7ZDA</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Mochimaru, Takao</creator><creator>Minematsu, Naoto</creator><creator>Ohsawa, Kazuma</creator><creator>Tomomatsu, Katsuyoshi</creator><creator>Miura, Hiroshi</creator><creator>Betsuyaku, Tomoko</creator><creator>Murakami, Marohito</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><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>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170101</creationdate><title>Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review</title><author>Mochimaru, Takao ; Minematsu, Naoto ; Ohsawa, Kazuma ; Tomomatsu, Katsuyoshi ; Miura, Hiroshi ; Betsuyaku, Tomoko ; Murakami, Marohito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c642t-a2f528050b3b79b696464205648b3914294d6afb1518469d8e54d83767cf505e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Ascites</topic><topic>Case Report</topic><topic>Chemotherapy</topic><topic>Computed tomography</topic><topic>Embolization</topic><topic>Embolization, Therapeutic - methods</topic><topic>Hemoperitoneum</topic><topic>Hemoperitoneum - etiology</topic><topic>Hemoperitoneum - therapy</topic><topic>Hemorrhage</topic><topic>Hepatic artery</topic><topic>Hepatic Artery - pathology</topic><topic>hepatic metastasis</topic><topic>Hepatocellular carcinoma</topic><topic>Humans</topic><topic>Hypotension</topic><topic>Internal medicine</topic><topic>Literature reviews</topic><topic>Liver</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver Neoplasms - therapy</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - drug therapy</topic><topic>Lung Neoplasms - pathology</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Rupture</topic><topic>Rupture, Spontaneous - etiology</topic><topic>Rupture, Spontaneous - therapy</topic><topic>Small cell lung carcinoma</topic><topic>Small Cell Lung Carcinoma - drug therapy</topic><topic>Small Cell Lung Carcinoma - pathology</topic><topic>Tomography, X-Ray Computed - adverse effects</topic><topic>transcatheter arterial embolization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mochimaru, Takao</creatorcontrib><creatorcontrib>Minematsu, Naoto</creatorcontrib><creatorcontrib>Ohsawa, Kazuma</creatorcontrib><creatorcontrib>Tomomatsu, Katsuyoshi</creatorcontrib><creatorcontrib>Miura, Hiroshi</creatorcontrib><creatorcontrib>Betsuyaku, Tomoko</creatorcontrib><creatorcontrib>Murakami, Marohito</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mochimaru, Takao</au><au>Minematsu, Naoto</au><au>Ohsawa, Kazuma</au><au>Tomomatsu, Katsuyoshi</au><au>Miura, Hiroshi</au><au>Betsuyaku, Tomoko</au><au>Murakami, Marohito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>56</volume><issue>6</issue><spage>695</spage><epage>699</epage><pages>695-699</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>28321073</pmid><doi>10.2169/internalmedicine.56.6828</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Ascites Case Report Chemotherapy Computed tomography Embolization Embolization, Therapeutic - methods Hemoperitoneum Hemoperitoneum - etiology Hemoperitoneum - therapy Hemorrhage Hepatic artery Hepatic Artery - pathology hepatic metastasis Hepatocellular carcinoma Humans Hypotension Internal medicine Literature reviews Liver Liver cancer Liver Neoplasms - complications Liver Neoplasms - secondary Liver Neoplasms - therapy Lung cancer Lung Neoplasms - drug therapy Lung Neoplasms - pathology Male Medical personnel Metastases Metastasis Rupture Rupture, Spontaneous - etiology Rupture, Spontaneous - therapy Small cell lung carcinoma Small Cell Lung Carcinoma - drug therapy Small Cell Lung Carcinoma - pathology Tomography, X-Ray Computed - adverse effects transcatheter arterial embolization |
| title | Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review |
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