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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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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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description	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.
doi_str_mv	10.1046/j.1440-1746.2001.02375.x
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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.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1046/j.1440-1746.2001.02375.x</identifier><identifier>PMID: 11422629</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>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</subject><ispartof>Journal of gastroenterology and hepatology, 2001-06, Vol.16 (6), p.702-704</ispartof><rights>2001 Blackwell Science Asia Pty Ltd</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4605-1ded9987b56972e12ba2b2c69145347dbb5ff8dba7facde41d715d83bbaa65d73</citedby><cites>FETCH-LOGICAL-c4605-1ded9987b56972e12ba2b2c69145347dbb5ff8dba7facde41d715d83bbaa65d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1054800$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11422629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seki, Shuichi</creatorcontrib><creatorcontrib>Kitada, Takuya</creatorcontrib><creatorcontrib>Sakaguchi, Hiroki</creatorcontrib><creatorcontrib>Nakatani, Kazuki</creatorcontrib><creatorcontrib>Kamino, Toshio</creatorcontrib><creatorcontrib>Nakamura, Kenji</creatorcontrib><creatorcontrib>Yamada, Ryusaku</creatorcontrib><title>Cardiac tamponade caused by spontaneous rupture of mediastinal lymph node metastasis of hepatocellular carcinoma</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>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.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>cardiac tamponade</subject><subject>Cardiac Tamponade - etiology</subject><subject>Embolization, Therapeutic</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>hepatocellular carcinoma</subject><subject>Humans</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Mammary Arteries</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pericardial Effusion - etiology</subject><subject>Pericardial Effusion - therapy</subject><subject>Rupture, Spontaneous</subject><subject>transcatheter arterial embolization</subject><subject>Tumors</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqNkE1v1DAQhi1ERbeFv4B8QNwSxo4dxwcOaAVtUaVeytkaf0TNKl_Yiej--zrsCjhysjV-3pnxQwhlUDIQ9adDyYSAgilRlxyAlcArJcvnV2T35-E12UHDZKErpi_JVUoHABCg5BtyyZjgvOZ6R-Y9Rt-howsO8zSiD9ThmoKn9khTriw4hmlNNK7zssZAp5YOISfS0o3Y0_44zE90nHJuCEuuYurSBj2FGZfJhb5fe4y5aXTdOA34lly02Kfw7nxekx_fvj7ub4v7h5u7_Zf7wokaZMF88Fo3yspaKx4Yt8gtd7VmQlZCeWtl2zbeomrR-SCYV0z6prIWsZZeVdfk46nvHKefa0iLGbq0rXP6j1GgZQVSZ7A5gS5OKcXQmjl2A8ajYWA22-ZgNqlmk2o22-a3bfOco-_PM1abpfwNnvVm4MMZwOSwbyOOrkv_DJCiAcjY5xP2q-vD8b_nm-83t9utegGNa52a</recordid><startdate>200106</startdate><enddate>200106</enddate><creator>Seki, Shuichi</creator><creator>Kitada, Takuya</creator><creator>Sakaguchi, Hiroki</creator><creator>Nakatani, Kazuki</creator><creator>Kamino, Toshio</creator><creator>Nakamura, Kenji</creator><creator>Yamada, Ryusaku</creator><general>Blackwell Science Pty</general><general>Blackwell Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200106</creationdate><title>Cardiac tamponade caused by spontaneous rupture of mediastinal lymph node metastasis of hepatocellular carcinoma</title><author>Seki, Shuichi ; Kitada, Takuya ; Sakaguchi, Hiroki ; Nakatani, Kazuki ; Kamino, Toshio ; Nakamura, Kenji ; Yamada, Ryusaku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4605-1ded9987b56972e12ba2b2c69145347dbb5ff8dba7facde41d715d83bbaa65d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>cardiac tamponade</topic><topic>Cardiac Tamponade - etiology</topic><topic>Embolization, Therapeutic</topic><topic>Gastroenterology. 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Exocrine pancreas</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Mammary Arteries</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pericardial Effusion - etiology</topic><topic>Pericardial Effusion - therapy</topic><topic>Rupture, Spontaneous</topic><topic>transcatheter arterial embolization</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seki, Shuichi</creatorcontrib><creatorcontrib>Kitada, Takuya</creatorcontrib><creatorcontrib>Sakaguchi, Hiroki</creatorcontrib><creatorcontrib>Nakatani, Kazuki</creatorcontrib><creatorcontrib>Kamino, Toshio</creatorcontrib><creatorcontrib>Nakamura, Kenji</creatorcontrib><creatorcontrib>Yamada, Ryusaku</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seki, Shuichi</au><au>Kitada, Takuya</au><au>Sakaguchi, Hiroki</au><au>Nakatani, Kazuki</au><au>Kamino, Toshio</au><au>Nakamura, Kenji</au><au>Yamada, Ryusaku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac tamponade caused by spontaneous rupture of mediastinal lymph node metastasis of hepatocellular carcinoma</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2001-06</date><risdate>2001</risdate><volume>16</volume><issue>6</issue><spage>702</spage><epage>704</epage><pages>702-704</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>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.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>11422629</pmid><doi>10.1046/j.1440-1746.2001.02375.x</doi><tpages>3</tpages></addata></record>
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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
title	Cardiac tamponade caused by spontaneous rupture of mediastinal lymph node metastasis of hepatocellular carcinoma
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