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CASE REPORT: Haemothorax due to hepatocellular carcinoma rupture successfully controlled by transcatheter arterial embolization
Author(s) -
MASUMOTO AKIHIDE,
MOTOMURA KENTA,
UCHIMURA KOUTARO,
MOROTOMI IKUO,
MORITA KAZUNORI
Publication year - 1997
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1997.tb00399.x
Subject(s) - medicine , arterial embolization , hemothorax , pleural effusion , hepatocellular carcinoma , thoracentesis , bronchial artery , chest radiograph , surgery , diaphragm (acoustics) , radiology , embolization , intercostal arteries , lung , radiography , pneumothorax , physics , acoustics , loudspeaker
ABSTRACT A 64‐year‐old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver and lung. On the seventh hospital day, a chest radiograph showed a marked increase in right pleural effusion. A thoracentesis revealed a haemothorax. Despite repeated pleural taps and blood transfusions, the patient's clinical status worsened and he developed severe dyspnoea. An inferior phrenic arteriography on the 19th hospital day showed a tumour growing over the diaphragm into the right thoracic cavity, suggesting a tumour rupture. A transcatheter arterial embolization (TAE) of the inferior phrenic artery successfully controlled the bleeding and improved the haemothorax. There was no rebleeding; however, the patient died of advanced HCC 3 months later. To our knowledge, this is the first case of a haemothorax secondary to a ruptured HCC that was treated successfully with TAE.