Spontaneous Rupture of Hepatic Metastasis from Pancreatic Adenocarcinoma
Joint Authors
Rahul, Anil
Robin, Fernandes
Adarsh, Hiremath
Source
Case Reports in Oncological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 58-year-old man with advanced-stage pancreatic adenocarcinoma presented with fatigue and dyspnea.
Examination revealed tachycardia (102 b/min) with mild tenderness in right upper quadrant.
His hemoglobin (Hb) was 7.9 g/dL (10 days prior to presentation 12.2 g/dL), International normalized ratio (INR), platelet count was normal, and the stool guaiac test was negative.
On admission, abdominal computed tomography (CT) scan showed hepatic metastatic lesion with a rupture and hemoperitoneum communicating to the subdiaphragmatic space.
This rapid progression of anemia along with presenting symptoms and CT imaging were attributed to diagnosis of spontaneous rupture of liver metastasis from pancreatic adenocarcinoma.
Patient received blood transfusion and hemoglobin was monitored in successive intervals.
His general condition and anemia improved with conservative management and he was discharged in 3 days.
Repeated CT after 4 months showed resolving hemoperitoneum and stable hemoglobin levels.
The patient deceased 9 months after being diagnosed.
A literature search revealed limited data regarding the incidence and management of spontaneous rupture of metastatic lesion secondary to pancreatic adenocarcinoma which has been managed conservatively and thus we are reporting our experience.
American Psychological Association (APA)
Rahul, Anil& Robin, Fernandes& Adarsh, Hiremath. 2016. Spontaneous Rupture of Hepatic Metastasis from Pancreatic Adenocarcinoma. Case Reports in Oncological Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101706
Modern Language Association (MLA)
Rahul, Anil…[et al.]. Spontaneous Rupture of Hepatic Metastasis from Pancreatic Adenocarcinoma. Case Reports in Oncological Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101706
American Medical Association (AMA)
Rahul, Anil& Robin, Fernandes& Adarsh, Hiremath. Spontaneous Rupture of Hepatic Metastasis from Pancreatic Adenocarcinoma. Case Reports in Oncological Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101706
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101706