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  • Title: Hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer.
    Author: Kadowaki T, Hamada H, Yokoyama A, Ito R, Ishimaru S, Ohnishi H, Katayama H, Oshima M, Okura T, Kito K, Higaki J.
    Journal: Intern Med; 2005 Apr; 44(4):290-3. PubMed ID: 15897637.
    Abstract:
    We describe a rare case of hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer. A 72-year-old man with non-small cell lung cancer was admitted to our hospital with sudden onset of right upper abdominal pain and hypovolemic shock. Laboratory tests showed severe anemia. Abdominal contrast-enhanced computed tomography revealed massive ascites and multiple liver metastases. Rupture of a metastatic liver tumor was suspected. Only palliative therapy was performed. The patient's general condition gradually worsened, and he died 2 months after admission. Autopsy examination revealed hemoperitoneum due to a ruptured metastatic liver tumor originating from pulmonary squamous cell carcinoma.
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