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

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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
Issue number44
Publication statusPublished - 2016

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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    Kim, H. J., Park, Y. E., Ki, M. S., Lee, S. J., Beom, S. H., Han, D. H., Park, Y. N., & Park, J. Y. (2016). Spontaneous rupture of hepatic metastasis from a thymoma: A case report. World Journal of Gastroenterology, 22(44), 9860-9864. https://doi.org/10.3748/wjg.v22.i44.9860