2012
DOI: 10.1186/1477-7819-10-215
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Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature

Abstract: We report a rare case in which hemothorax occurred in addition to hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) originating from the caudate lobe of the liver. The case pertains to a 56-year-old female who was transported to our hospital for impaired consciousness due to hemorrhagic shock. Computed tomography (CT) demonstrated ruptured HCC originating from the caudate lobe and accompanying hemoperitoneum and right hemothorax. Hemostasis was carried out by transcatheter arterial em… Show more

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Cited by 13 publications
(11 citation statements)
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“…In 2012, Ono et al [11] reviewed 17 cases of hemothorax caused by either metastasis or direct invasion in the chest. We further reviewed previous literature and found 21 cases (including the present case) of HCC with metastasis or direct invasion in the chest presenting hemothorax (Table 1); these cases are summarized in Table 2.…”
Section: Discussionmentioning
confidence: 99%
“…In 2012, Ono et al [11] reviewed 17 cases of hemothorax caused by either metastasis or direct invasion in the chest. We further reviewed previous literature and found 21 cases (including the present case) of HCC with metastasis or direct invasion in the chest presenting hemothorax (Table 1); these cases are summarized in Table 2.…”
Section: Discussionmentioning
confidence: 99%
“…However, in the present case, despite the fact that the lesion representing the source of the bleeding was located in the abdominal cavity, massive bleeding was present in the thoracic cavity. There is only one report of such an HCC rupture in liver segment I being associated with a hemothorax [5]. In our case, the cause of this may have involved damage to the diaphragm, which serves as the boundary between the thoracic and abdominal cavities.…”
Section: Discussionmentioning
confidence: 68%
“…Hemothorax associated with ruptured HCC has been reported in only 18 cases in the English and Japanese literature (3,4).…”
Section: Introductionmentioning
confidence: 99%