Spontaneous hemoperitoneum secondary to rupture of hepatic metastasis from primitive neuroectodermal tumor: A case report and review of the literature

T. S. Yeh, R. J. Chen, J. F. Fang

Research output: Contribution to journalArticle

Abstract

Spontaneous hemoperitoneum secondary to rupture of hepatic malignancy is rarely diagnosed preoperatively. High suspicion is required, followed by abdominal ultrasonography and abdominal computerized tomography. Hepatic metastasis from the central nervous system is rare, and has been exclusively found through autopsy. This report concerns a metastatic hepatic tumor from a primitive neuroectodermal tumor (PNET) which clinically manifested as hemoperitoneum. Such these patients usually survive only weeks to months after diagnosis. Selective hepatic artery ligation can effectively control tumor bleeding without increasing morbidity and mortality after operation, and this procedure is thus recommended as management of choice for this critical, emergency condition. If a diagnosis of rupture of metastatic tumor of liver can be established before laparotomy, catheter embolization of the hepatic artery is an alternative.

Original languageEnglish
Pages (from-to)2320-2323
Number of pages4
JournalJournal of Surgical Association Republic of China
Volume27
Issue number2
Publication statusPublished - 1994
Externally publishedYes

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Hemoperitoneum
Primitive Neuroectodermal Tumors
Rupture
Neoplasm Metastasis
Liver
Hepatic Artery
Neoplasms
Laparotomy
Ligation
Autopsy
Ultrasonography
Emergencies
Catheters
Central Nervous System
Tomography
Hemorrhage
Morbidity
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Spontaneous hemoperitoneum secondary to rupture of hepatic metastasis from primitive neuroectodermal tumor: A case report and review of the literature",
abstract = "Spontaneous hemoperitoneum secondary to rupture of hepatic malignancy is rarely diagnosed preoperatively. High suspicion is required, followed by abdominal ultrasonography and abdominal computerized tomography. Hepatic metastasis from the central nervous system is rare, and has been exclusively found through autopsy. This report concerns a metastatic hepatic tumor from a primitive neuroectodermal tumor (PNET) which clinically manifested as hemoperitoneum. Such these patients usually survive only weeks to months after diagnosis. Selective hepatic artery ligation can effectively control tumor bleeding without increasing morbidity and mortality after operation, and this procedure is thus recommended as management of choice for this critical, emergency condition. If a diagnosis of rupture of metastatic tumor of liver can be established before laparotomy, catheter embolization of the hepatic artery is an alternative.",
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AU - Chen, R. J.

AU - Fang, J. F.

PY - 1994

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N2 - Spontaneous hemoperitoneum secondary to rupture of hepatic malignancy is rarely diagnosed preoperatively. High suspicion is required, followed by abdominal ultrasonography and abdominal computerized tomography. Hepatic metastasis from the central nervous system is rare, and has been exclusively found through autopsy. This report concerns a metastatic hepatic tumor from a primitive neuroectodermal tumor (PNET) which clinically manifested as hemoperitoneum. Such these patients usually survive only weeks to months after diagnosis. Selective hepatic artery ligation can effectively control tumor bleeding without increasing morbidity and mortality after operation, and this procedure is thus recommended as management of choice for this critical, emergency condition. If a diagnosis of rupture of metastatic tumor of liver can be established before laparotomy, catheter embolization of the hepatic artery is an alternative.

AB - Spontaneous hemoperitoneum secondary to rupture of hepatic malignancy is rarely diagnosed preoperatively. High suspicion is required, followed by abdominal ultrasonography and abdominal computerized tomography. Hepatic metastasis from the central nervous system is rare, and has been exclusively found through autopsy. This report concerns a metastatic hepatic tumor from a primitive neuroectodermal tumor (PNET) which clinically manifested as hemoperitoneum. Such these patients usually survive only weeks to months after diagnosis. Selective hepatic artery ligation can effectively control tumor bleeding without increasing morbidity and mortality after operation, and this procedure is thus recommended as management of choice for this critical, emergency condition. If a diagnosis of rupture of metastatic tumor of liver can be established before laparotomy, catheter embolization of the hepatic artery is an alternative.

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