The diagnostic dilemma of ruptured liver metastasis in a patient with lung cancer : a case report
Joint Authors
Kate, Vikram
Rajesh, N. G.
Gurushankari, Balakrishnan
Sureshkumar, Sathasivam
Anandhi, Amaranathan
Jayanth, K. S.
Madan, Shivakumar
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 22, Issue 3 (31 Aug. 2022), pp.421-425, 5 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2022-08-31
Country of Publication
Oman
No. of Pages
5
Main Subjects
Abstract EN
Spontaneous rupture of a metastatic liver tumour is rarely documented in the literature when compared to hepatocellular carcinoma and other liver lesions, especially from a lung primary.
We report a case of ruptured liver metastasis from an adenocarcinoma of the lung mimicking ruptured liver abscess, challenging the clinical diagnosis.
A 42-year-female patient presented to a tertiary care institute in 2020 with complaints of abdominal pain, breathlessness and fever.
On examination, the patient was tachypnoeic with a right hypochondriac mass.
A contrast-enhanced computed tomography of abdomen and thorax revealed an ill-defined heterogeneously enhancing lesion in the liver with a communicating subcapsular collection and hypo-enhancing lesions in the left lobe and heterogeneously enhancing lesion in the left lung.
Adenocarcinoma of the lung with hepatic metastasis was confirmed with a core needle biopsy.
The patient was managed conservatively with intravenous antibiotics, intercostal drainage tube and gefitinib.
However, despite best efforts, the patient succumbed to the disease.
American Psychological Association (APA)
Jayanth, K. S.& Madan, Shivakumar& Gurushankari, Balakrishnan& Sureshkumar, Sathasivam& Anandhi, Amaranathan& Rajesh, N. G.…[et al.]. 2022. The diagnostic dilemma of ruptured liver metastasis in a patient with lung cancer : a case report. Sultan Qaboos University Medical Journal،Vol. 22, no. 3, pp.421-425.
https://search.emarefa.net/detail/BIM-1439415
Modern Language Association (MLA)
Jayanth, K. S.…[et al.]. The diagnostic dilemma of ruptured liver metastasis in a patient with lung cancer : a case report. Sultan Qaboos University Medical Journal Vol. 22, no. 3 (Aug. 2022), pp.421-425.
https://search.emarefa.net/detail/BIM-1439415
American Medical Association (AMA)
Jayanth, K. S.& Madan, Shivakumar& Gurushankari, Balakrishnan& Sureshkumar, Sathasivam& Anandhi, Amaranathan& Rajesh, N. G.…[et al.]. The diagnostic dilemma of ruptured liver metastasis in a patient with lung cancer : a case report. Sultan Qaboos University Medical Journal. 2022. Vol. 22, no. 3, pp.421-425.
https://search.emarefa.net/detail/BIM-1439415
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 425
Record ID
BIM-1439415