The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer: A case report.
Case Report
Hepatocellular Carcinoma
India
Liver Abscess
Metastasis
Spontaneous Rupture
Thyroid Transcription Factor
Journal
Sultan Qaboos University medical journal
ISSN: 2075-0528
Titre abrégé: Sultan Qaboos Univ Med J
Pays: Oman
ID NLM: 101519915
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
24
02
2021
revised:
05
05
2021
accepted:
03
06
2021
entrez:
8
9
2022
pubmed:
9
9
2022
medline:
11
9
2022
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 36072072
doi: 10.18295/squmj.6.2021.091
pii: squmj2208-421-425
pmc: PMC9423753
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
421-425Informations de copyright
© Copyright 2022, Sultan Qaboos University Medical Journal, All Rights Reserved.
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