Spontaneous rupture of hepatic metastasis from a thymoma: A case report

Ho Jae Kim, Yong Eun Park, Min Seo Ki, Se Ju Lee, Seung Hun Beom, Dai Hoon Han, Young Nyun Park, Jun Yong Park

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Bleeding resulting from spontaneous rupture of the liver is an infrequent but potentially life threatening complication that may be associated with an underlying liver disease. A hepatocellular carcinoma or hepatic adenoma is frequently reported is such cases. However, hemoperitoneum resulting from a hepatic metastatic thymoma is extremely rare. Here, we present a case of a 62-year-old man with hypovolemic shock induced by ruptured hepatic metastasis from a thymoma. At the first hospital admission, the patient had a 45-mm anterior mediastinal mass that was eventually diagnosed as a type A thymoma. The mass was excised, and the patient was disease-free for 6 years. He experienced sudden-onset right upper quadrant pain and was again admitted to our hospital. We noted large hemoperitoneum with a 10-cm encapsulated mass in S5/8 and a 2.3-cm nodular lesion in the right upper quadrant of the abdomen. He was diagnosed with hepatic metastasis from the thymoma, and he underwent chemotherapy and surgical excision.

Original languageEnglish
Pages (from-to)9860-9864
Number of pages5
JournalWorld Journal of Gastroenterology
Volume22
Issue number44
DOIs
Publication statusPublished - 2016 Jan 1

Fingerprint

Spontaneous Rupture
Thymoma
Neoplasm Metastasis
Liver
Hemoperitoneum
Patient Admission
Adenoma
Abdomen
Liver Diseases
Hepatocellular Carcinoma
Shock
Hemorrhage
Drug Therapy
Pain

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Kim, Ho Jae ; Park, Yong Eun ; Ki, Min Seo ; Lee, Se Ju ; Beom, Seung Hun ; Han, Dai Hoon ; Park, Young Nyun ; Park, Jun Yong. / Spontaneous rupture of hepatic metastasis from a thymoma : A case report. In: World Journal of Gastroenterology. 2016 ; Vol. 22, No. 44. pp. 9860-9864.
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Kim, HJ, Park, YE, Ki, MS, Lee, SJ, Beom, SH, Han, DH, Park, YN & Park, JY 2016, 'Spontaneous rupture of hepatic metastasis from a thymoma: A case report', World Journal of Gastroenterology, vol. 22, no. 44, pp. 9860-9864. https://doi.org/10.3748/wjg.v22.i44.9860

Spontaneous rupture of hepatic metastasis from a thymoma : A case report. / Kim, Ho Jae; Park, Yong Eun; Ki, Min Seo; Lee, Se Ju; Beom, Seung Hun; Han, Dai Hoon; Park, Young Nyun; Park, Jun Yong.

In: World Journal of Gastroenterology, Vol. 22, No. 44, 01.01.2016, p. 9860-9864.

Research output: Contribution to journalArticle

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AB - Bleeding resulting from spontaneous rupture of the liver is an infrequent but potentially life threatening complication that may be associated with an underlying liver disease. A hepatocellular carcinoma or hepatic adenoma is frequently reported is such cases. However, hemoperitoneum resulting from a hepatic metastatic thymoma is extremely rare. Here, we present a case of a 62-year-old man with hypovolemic shock induced by ruptured hepatic metastasis from a thymoma. At the first hospital admission, the patient had a 45-mm anterior mediastinal mass that was eventually diagnosed as a type A thymoma. The mass was excised, and the patient was disease-free for 6 years. He experienced sudden-onset right upper quadrant pain and was again admitted to our hospital. We noted large hemoperitoneum with a 10-cm encapsulated mass in S5/8 and a 2.3-cm nodular lesion in the right upper quadrant of the abdomen. He was diagnosed with hepatic metastasis from the thymoma, and he underwent chemotherapy and surgical excision.

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