Ruptured Peripheral Cholangiocarcinoma with Hemoperitoneum

Chong, Roland Weng Wah; Chung, Alexander Y. F.; Chew, Ivy; Lee, Victor K. M.

doi:10.1007/s10620-006-9342-7

Cited by 9 publications

(8 citation statements)

References 9 publications

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“…A benign solitary fibrous tumor, which was once considered to be an exclusively thoracic lesion, can also cause hemoperitoneum [11]. Ruptured cholangiocarcinomas can rarely present with spontaneous hemorrhage [12]. A mixed cavernous-capillary hemangioma with central necrosis can occur on the greater curvature of the stomach, accompanied by bleeding and hemoperitoneum [13].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report

et al. 2010

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BackgroundSpontaneous hemoperitoneum is rare. The most common etiologies are gynecologic, splenic, and hepatic. Gastrointestinal stromal tumors (GISTs) are commonly associated with intraluminal bleeding, but rarely with spontaneous hemoperitoneum. We report a case of spontaneous hemoperitoneum caused by a gastric GIST.Case reportA 54-year-old male presented with the acute onset of abdominal pain and a drop in hemoglobin. Subsequent evaluation, including a CT, MRI, and EUS, revealed a 1.2-cm mass along the greater curvature of the stomach and associated hemoperitoneum. The patient was taken electively to the operating room for laparoscopic removal of the mass. Pathology confirmed that it was a GIST.ConclusionGIST is a rare clinical entity that infrequently presents with spontaneous hemoperitoneum. Emergent treatment should be guided towards treating the spontaneous hemoperitoneum.

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Section: Discussionmentioning

confidence: 99%

Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report

et al. 2010

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“…In contrast with HCC, cholangiocarcinoma usually forms a hard tumor with abundant fibrous stroma, so this tumor seldom ruptures spontaneously [4]. Only a few cases of spontaneous rupture of cholangiocarcinoma were reported [4][5][6]. Chong et al [6] suggested a papillary type of tumor with little fibrous stroma and a capsular location as the predisposing factors to rupture of cholangiocarcinoma.…”

Section: Case Reportmentioning

confidence: 99%

“…Only a few cases of spontaneous rupture of cholangiocarcinoma were reported [4][5][6]. Chong et al [6] suggested a papillary type of tumor with little fibrous stroma and a capsular location as the predisposing factors to rupture of cholangiocarcinoma. Akatsu et al [4] proposed a presence of venous obstruction as another risk factor.…”

Section: Case Reportmentioning

confidence: 99%

Spontaneous Rupture of Multiple Intrahepatic Cholangiocarcinoma in a Pregnant Patient

Lee

et al. 2016

Soonchunhyang Med Sci

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Spontaneous rupture of intrahepatic cholangiocarcinoma is rare due to its abundant fibrous stroma. We report our experience in a case of spontaneous rupture of intrahepatic cholangiocarcinoma in a pregnant patient. In our case, multiple hepatic masses with intratumoral hemorrhage were noted on post-delivery computed tomography and magnetic resonance imaging and they caused hemoperitoneum. A right hemi-hepatectomy was carried out to control the bleeding and the diagnosis of intrahepatic cholangiocarcinoma with metastasis was performed.

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“…Rupture is very uncommon in cases of hepatic metastasis and cholangiocarcinoma due to the histopathologic characteristics of abundant fibrous stroma and a relatively poor vascularity (2,4,9,10). Hepatic metastases from lung carcinoma, renal cell carcinoma, and melanoma have been reported to be the most frequent causes of hepatic bleeding (4).…”

Section: Livermentioning

confidence: 99%

“…Hepatic metastases from lung carcinoma, renal cell carcinoma, and melanoma have been reported to be the most frequent causes of hepatic bleeding (4). Although ruptured hypovascular tumors share similar mechanisms as those in HCC rupture, tumor necrosis is thought to be the most important factor for the development of rupture (4,9,10). On imaging, ruptured tumors appear as protruding, low-attenuated subcapsular masses with discontinuity of the liver surface, and surrounding hemoperitoneum.…”

Section: Livermentioning

confidence: 99%

Imaging findings of ruptured abdominal and pelvic tumors

Kim

Yang

2012

Acta Radiol

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A variety of abdominal and pelvic tumors can present with rupture leading to hemoperitoneum/hemoretroperitoneum or peritonitis. Imaging plays an important role in the diagnosis of hemorrhage or peritonitis as well as in the detection of ruptured tumors or organs. In this article, we illustrate the imaging findings of ruptured tumors arising in the abdominal and pelvic organs while excluding those of ruptured tumors arising in the stomach and intestines. It is important for the radiologists to understand the mechanisms involved in tumor rupture and recognize the imaging features of ruptured tumors according to the organs involved because this will permit the exact diagnosis of ruptured tumors, thereby facilitating prompt and effective treatment.

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Ruptured Peripheral Cholangiocarcinoma with Hemoperitoneum

Cited by 9 publications

References 9 publications

Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report

Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report

Spontaneous Rupture of Multiple Intrahepatic Cholangiocarcinoma in a Pregnant Patient

Imaging findings of ruptured abdominal and pelvic tumors

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