A Spontaneously Ruptured Hepatic Metastasis From a Gastric Gastrointestinal Stromal Tumor That Presented as Hemoperitoneum

Abstract

Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma. A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen. In this article, we report the case of a 65-year-old man with a spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor that presented as hypovolemic shock. Cross-sectional imaging studies (computed tomography or magnetic resonance imaging) play a significant role in the diagnosis of this condition and guides its management.

A Rare Case of a Ruptured Metastatic Hepatic Lesion from a Jejunal Gastrointestinal Stromal Tumor (GIST) Treated by Arterial Embolization

“…Yoon reported another case of a 65-year-old male with a spontaneous rupture of a hepatic metastasis from a gastric GIST that presented as hypovolemic shock. Resuscitation and emergent selective arterial embolization of the tumor stopped the hemorrhage, but recurrence occurred 3 days after embolization imposing surgical intervention [15].…”

A Life-Saving Cancer: More on the Double Whammy

“…13,16,17 Finally, metastatic lesions in the liver rarely rupture spontaneously and cause massive hemoperitoneum. [19][20][21][22][23][24] The primary tumors in such cases are diverse in location and cell type.…”