Hemothorax due to metastatic hepatocellular carcinoma presenting with massive hemoptysis
Journal
Journal of the Formosan Medical Association
Journal Volume
105
Journal Issue
4
Date Issued
2006-01-01
Author(s)
Abstract
Hemoperitoneum caused by ruptured hepatocellular carcinoma (HCC) is not uncommon in patients with HCC. Hemothorax due to rupture of metastatic HCC, however, is a very rare complication with high mortality because of uncontrollable hemorrhage. We describe a 42-year-old male HCC patient with chest wall metastasis complicated by hemothorax with an unusual presentation of massive hemoptysis. He received tube thoracotomy immediately and emergency surgery because of persistent bleeding. Hemostasis was achieved transiently. Despite intensive care, he died of multiple organ failure on the 6th postoperative day. We conclude that hemothorax due to a ruptured HCC, as in this case, indicates a very poor prognosis despite intensive treatment. ©2006 Elsevier & Formosan Medical Association.
Subjects
Hemoptysis | Hemothorax | Hepatocellular carcinoma
Hemoptysis; Hemothorax; Hepatocellular carcinoma
SDGs
Other Subjects
adult; article; artificial embolism; cancer radiotherapy; case report; clinical examination; computer assisted tomography; death; emergency surgery; hematothorax; hemoptysis; hemostasis; histopathology; human; intensive care; liver cell carcinoma; lung biopsy; lung resection; male; metastasis potential; multiple organ failure; postoperative period; prognosis; thoracotomy; thorax radiography
Type
journal article