Hemothorax due to metastatic hepatocellular carcinoma presenting with massive hemoptysis

Journal of the Formosan Medical Association = Taiwan Yi Zhi
Yu-Feng WeiYi-Chen Chang

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.

References

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Citations

Jan 23, 2009·General Thoracic and Cardiovascular Surgery·Mitsuhiro KamiyoshiharaIzumi Takeyoshi
Mar 16, 2013·World Journal of Radiology·Eiki NagaoHiroshi Honda
Oct 11, 2012·World Journal of Surgical Oncology·Fuminori OnoShoichi Onochi
Oct 30, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Meng-Tzu WengShu-Chen Wei

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