Abstract
We describe a rare case of spontaneous rupture of a hepatic metastasis from renal
cell carcinoma that was treated successfully by hepatic arterial embolization. A 65-year-old
woman, who had been undergoing immunotherapy for inoperably disseminated renal carcinoma
and lung metastases, presented with severe abdominal pain in a state of hypovolemic
shock. Computed tomography revealed a highly attenuated mass lesion in the right lobe
of the liver and massive intraperitoneal hemorrhage. Subsequent hepatic angiography
showed extravasation from the feeding right hepatic artery. Transcatheter embolization
of the right hepatic artery was subsequently performed, and the patient made an uneventful
recovery. Although hepatic rupture due to metastatic cancer is extremely rare, transcatheter
arterial embolization (TAE) is an appropriate and useful treatment for massive hemorrhage
caused by spontaneous rupture of liver metastasis.
Keywords
Keywords
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Article info
Publication history
Accepted:
March 22,
2000
Received:
December 1,
1999
Identification
Copyright
© 2000 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
