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Haemoperitoneum Due to Spontaneous Rupture of a Liver Metastasis
Christodoulos Dolapsakis1, Polina Pavli1, Andreas Panagopoulos1
13rd Department of Internal Medicine, Evangelismos General Hospital, Athens, Greece.
European Journal of Case Reports in Internal Medicine
|August 15, 2019
Summary
Spontaneous rupture of liver metastasis is a rare, life-threatening event. This case highlights successful conservative management for a patient with liver metastasis rupture.
Area of Science:
- Hepatology
- Oncology
- Surgical Pathology
Background:
- Spontaneous rupture of liver metastasis is a rare but severe complication.
- Metastatic liver disease presents a significant clinical challenge, with rupture being an infrequent but critical event.
Purpose of the Study:
- To report a case of spontaneous liver metastasis rupture.
- To discuss the management of this rare complication.
Main Methods:
- Case report of a 72-year-old patient with carcinoma of unknown origin.
- Management involved initial conservative measures.
Main Results:
- The patient presented with hemoperitoneum due to spontaneous rupture of a liver metastasis.
- Successful outcome was achieved with conservative management.
Conclusions:
- Spontaneous liver metastasis rupture is a rare, life-threatening condition.
- Risk factors include subcapsular location, rapid growth, and tumor necrosis.
- Fever may precede rupture, aiding diagnosis. Transarterial embolization is an option for persistent hemorrhage.
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