Cardiac tamponade caused by spontaneous rupture of mediastinal lymph node metastasis of hepatocellular carcinoma

Rupture of a hepatocellular carcinoma (HCC) is a well‐known cause of death in patients with HCC. This report describes a rare case of HCC presenting as cardiac tamponade caused by a spontaneous rupture of mediastinal lymph node metastasis into the pericardial space. A transcatheter arterial emboliza...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2001-06, Vol.16 (6), p.702-704
Main Authors: Seki, Shuichi, Kitada, Takuya, Sakaguchi, Hiroki, Nakatani, Kazuki, Kamino, Toshio, Nakamura, Kenji, Yamada, Ryusaku
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carcinoma, Hepatocellular - complications
Carcinoma, Hepatocellular - pathology
cardiac tamponade
Cardiac Tamponade - etiology
Embolization, Therapeutic
Gastroenterology. Liver. Pancreas. Abdomen
hepatocellular carcinoma
Humans
Liver Neoplasms - complications
Liver Neoplasms - pathology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Lymphatic Metastasis
Male
Mammary Arteries
Medical sciences
Middle Aged
Pericardial Effusion - etiology
Pericardial Effusion - therapy
Rupture, Spontaneous
transcatheter arterial embolization
Tumors
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Summary:Rupture of a hepatocellular carcinoma (HCC) is a well‐known cause of death in patients with HCC. This report describes a rare case of HCC presenting as cardiac tamponade caused by a spontaneous rupture of mediastinal lymph node metastasis into the pericardial space. A transcatheter arterial embolization (TAE) of internal thoracic artery successfully controlled the bleeding, and the patient was rescued from cardiac tamponade. Although there was no rebleeding, the patient died from liver failure 2 months later. An autopsy revealed a poorly differentiated HCC in the liver, lung and mediastinal lymph nodes.
ISSN:0815-9319
1440-1746
DOI:10.1046/j.1440-1746.2001.02375.x