Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture

Hsin Chi Chen, Chi Jen Chen, Chin Ming Jeng, Chan Ming Yang

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Malignant fibrous histiocytoma (MFH) is a pleomorphic mesenchynal sarcoma. It is uncommonly arises primarily from the intra-peritoneal cavity. Primary peritoneal MFH with tumor bleeding and rupture is rare. We describe the imaging features of a 70-year-old patient presenting with ruptured hemorrhagic peritoneal MFH at subhepatic area, accompanied by massive hemoperitoneum, mimicking a ruptured pedunculated hepatocellular carcinoma. Computed tomography (CT) revealed a large heterogeneous enhanced subhepatic mass with adjacent liver, gallbladder and colon invasion. Tumor hemorrhage and rupture complicated with peritoneal seeding and massive bloody ascites were also detected. Angiography showed a hypervascular tumor fed by enlarged right hepatic arteries, cystic artery and omental branches of gastroepiploic artery. The patient underwent laparotomy for tumor resection, but the tumor recurred one month after operation. To our knowledge, the CT appearance of ruptured intraperitoneal MFH complicated by hemoperitoneum has not been previously described.

Original languageEnglish
Pages (from-to)6441-6443
Number of pages3
JournalWorld Journal of Gastroenterology
Volume13
Issue number47
DOIs
Publication statusPublished - Dec 21 2007
Externally publishedYes

Fingerprint

Hemoperitoneum
Malignant Fibrous Histiocytoma
Rupture
Hepatocellular Carcinoma
Neoplasms
Tomography
Gastroepiploic Artery
Hemorrhage
Hepatic Artery
Peritoneal Cavity
Gallbladder
Ascites
Sarcoma
Laparotomy
Angiography
Colon
Arteries
Liver

Keywords

  • Computed tomography
  • Hemoperitoneum
  • Malignant fibrous histiocytoma
  • Peritoneum
  • Spontaneous rupture

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture. / Chen, Hsin Chi; Chen, Chi Jen; Jeng, Chin Ming; Yang, Chan Ming.

In: World Journal of Gastroenterology, Vol. 13, No. 47, 21.12.2007, p. 6441-6443.

Research output: Contribution to journalArticle

@article{9bb3b8a18f1246d1a383b59b68a50cb4,
title = "Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture",
abstract = "Malignant fibrous histiocytoma (MFH) is a pleomorphic mesenchynal sarcoma. It is uncommonly arises primarily from the intra-peritoneal cavity. Primary peritoneal MFH with tumor bleeding and rupture is rare. We describe the imaging features of a 70-year-old patient presenting with ruptured hemorrhagic peritoneal MFH at subhepatic area, accompanied by massive hemoperitoneum, mimicking a ruptured pedunculated hepatocellular carcinoma. Computed tomography (CT) revealed a large heterogeneous enhanced subhepatic mass with adjacent liver, gallbladder and colon invasion. Tumor hemorrhage and rupture complicated with peritoneal seeding and massive bloody ascites were also detected. Angiography showed a hypervascular tumor fed by enlarged right hepatic arteries, cystic artery and omental branches of gastroepiploic artery. The patient underwent laparotomy for tumor resection, but the tumor recurred one month after operation. To our knowledge, the CT appearance of ruptured intraperitoneal MFH complicated by hemoperitoneum has not been previously described.",
keywords = "Computed tomography, Hemoperitoneum, Malignant fibrous histiocytoma, Peritoneum, Spontaneous rupture",
author = "Chen, {Hsin Chi} and Chen, {Chi Jen} and Jeng, {Chin Ming} and Yang, {Chan Ming}",
year = "2007",
month = "12",
day = "21",
doi = "10.3748/wjg.13.6441",
language = "English",
volume = "13",
pages = "6441--6443",
journal = "World Journal of Gastroenterology",
issn = "1007-9327",
publisher = "WJG Press",
number = "47",

}

TY - JOUR

T1 - Malignant fibrous histiocytoma presenting as hemoperitoneum mimicking hepatocellular carcinoma rupture

AU - Chen, Hsin Chi

AU - Chen, Chi Jen

AU - Jeng, Chin Ming

AU - Yang, Chan Ming

PY - 2007/12/21

Y1 - 2007/12/21

N2 - Malignant fibrous histiocytoma (MFH) is a pleomorphic mesenchynal sarcoma. It is uncommonly arises primarily from the intra-peritoneal cavity. Primary peritoneal MFH with tumor bleeding and rupture is rare. We describe the imaging features of a 70-year-old patient presenting with ruptured hemorrhagic peritoneal MFH at subhepatic area, accompanied by massive hemoperitoneum, mimicking a ruptured pedunculated hepatocellular carcinoma. Computed tomography (CT) revealed a large heterogeneous enhanced subhepatic mass with adjacent liver, gallbladder and colon invasion. Tumor hemorrhage and rupture complicated with peritoneal seeding and massive bloody ascites were also detected. Angiography showed a hypervascular tumor fed by enlarged right hepatic arteries, cystic artery and omental branches of gastroepiploic artery. The patient underwent laparotomy for tumor resection, but the tumor recurred one month after operation. To our knowledge, the CT appearance of ruptured intraperitoneal MFH complicated by hemoperitoneum has not been previously described.

AB - Malignant fibrous histiocytoma (MFH) is a pleomorphic mesenchynal sarcoma. It is uncommonly arises primarily from the intra-peritoneal cavity. Primary peritoneal MFH with tumor bleeding and rupture is rare. We describe the imaging features of a 70-year-old patient presenting with ruptured hemorrhagic peritoneal MFH at subhepatic area, accompanied by massive hemoperitoneum, mimicking a ruptured pedunculated hepatocellular carcinoma. Computed tomography (CT) revealed a large heterogeneous enhanced subhepatic mass with adjacent liver, gallbladder and colon invasion. Tumor hemorrhage and rupture complicated with peritoneal seeding and massive bloody ascites were also detected. Angiography showed a hypervascular tumor fed by enlarged right hepatic arteries, cystic artery and omental branches of gastroepiploic artery. The patient underwent laparotomy for tumor resection, but the tumor recurred one month after operation. To our knowledge, the CT appearance of ruptured intraperitoneal MFH complicated by hemoperitoneum has not been previously described.

KW - Computed tomography

KW - Hemoperitoneum

KW - Malignant fibrous histiocytoma

KW - Peritoneum

KW - Spontaneous rupture

UR - http://www.scopus.com/inward/record.url?scp=37649012008&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=37649012008&partnerID=8YFLogxK

U2 - 10.3748/wjg.13.6441

DO - 10.3748/wjg.13.6441

M3 - Article

VL - 13

SP - 6441

EP - 6443

JO - World Journal of Gastroenterology

JF - World Journal of Gastroenterology

SN - 1007-9327

IS - 47

ER -