Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma
We report a rare life-threatening case of spontaneous rupture of renal metastasis from hepatocellular carcinoma (HCC) that was managed by emergent transcatheter arterial embolization (TAE). A 76-year-old woman diagnosed with HCC presented with acute back pain in her right side and was transferred to...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/8607061 |
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| author | Osamu Kinoshita Yusuke Ichijo Masayuki Yoneda Atsushi Ikai Tetsuro Yamashita |
| author_facet | Osamu Kinoshita Yusuke Ichijo Masayuki Yoneda Atsushi Ikai Tetsuro Yamashita |
| author_sort | Osamu Kinoshita |
| collection | DOAJ |
| description | We report a rare life-threatening case of spontaneous rupture of renal metastasis from hepatocellular carcinoma (HCC) that was managed by emergent transcatheter arterial embolization (TAE). A 76-year-old woman diagnosed with HCC presented with acute back pain in her right side and was transferred to our hospital. Initial enhanced computed tomography revealed retroperitoneal hemorrhage from the right kidney, which was retrospectively diagnosed as a spontaneous rupture of the metastatic renal tumor from the primary HCC. Detailed examination identified an active retroperitoneal hemorrhage from the lesion and the patient’s condition became hemodynamically unstable; hence emergent TAE was performed. The hospitalization period after the TAE was uneventful and sorafenib was subsequently administered. Unfortunately, two months after the TAE, the tumor locally progressed within the retroperitoneal space. Tumors were controlled by repeated TAE as the patient did not want to undergo a nephrectomy. Consequently, she survived for more than one year after emergent TAE, exhibiting low levels of tumor marker. After rupture of the metastatic renal HCC, tumors were expected to progress into the retroperitoneal space, and nephrectomy was the next possible radical treatment to offer the best chance of long-term disease control. |
| format | Article |
| id | doaj-art-bac3168efea84d6ba4f119630097fa93 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-bac3168efea84d6ba4f119630097fa932025-02-03T01:01:14ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/86070618607061Spontaneous Rupture of Renal Metastasis from Hepatocellular CarcinomaOsamu Kinoshita0Yusuke Ichijo1Masayuki Yoneda2Atsushi Ikai3Tetsuro Yamashita4Department of Surgery, Maizuru Medical Center, Kyoto, JapanDepartment of Radiology, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Surgery, Maizuru Medical Center, Kyoto, JapanDepartment of Surgery, Maizuru Medical Center, Kyoto, JapanDepartment of Surgery, Maizuru Medical Center, Kyoto, JapanWe report a rare life-threatening case of spontaneous rupture of renal metastasis from hepatocellular carcinoma (HCC) that was managed by emergent transcatheter arterial embolization (TAE). A 76-year-old woman diagnosed with HCC presented with acute back pain in her right side and was transferred to our hospital. Initial enhanced computed tomography revealed retroperitoneal hemorrhage from the right kidney, which was retrospectively diagnosed as a spontaneous rupture of the metastatic renal tumor from the primary HCC. Detailed examination identified an active retroperitoneal hemorrhage from the lesion and the patient’s condition became hemodynamically unstable; hence emergent TAE was performed. The hospitalization period after the TAE was uneventful and sorafenib was subsequently administered. Unfortunately, two months after the TAE, the tumor locally progressed within the retroperitoneal space. Tumors were controlled by repeated TAE as the patient did not want to undergo a nephrectomy. Consequently, she survived for more than one year after emergent TAE, exhibiting low levels of tumor marker. After rupture of the metastatic renal HCC, tumors were expected to progress into the retroperitoneal space, and nephrectomy was the next possible radical treatment to offer the best chance of long-term disease control.http://dx.doi.org/10.1155/2017/8607061 |
| spellingShingle | Osamu Kinoshita Yusuke Ichijo Masayuki Yoneda Atsushi Ikai Tetsuro Yamashita Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma Case Reports in Surgery |
| title | Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma |
| title_full | Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma |
| title_fullStr | Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma |
| title_full_unstemmed | Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma |
| title_short | Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma |
| title_sort | spontaneous rupture of renal metastasis from hepatocellular carcinoma |
| url | http://dx.doi.org/10.1155/2017/8607061 |
| work_keys_str_mv | AT osamukinoshita spontaneousruptureofrenalmetastasisfromhepatocellularcarcinoma AT yusukeichijo spontaneousruptureofrenalmetastasisfromhepatocellularcarcinoma AT masayukiyoneda spontaneousruptureofrenalmetastasisfromhepatocellularcarcinoma AT atsushiikai spontaneousruptureofrenalmetastasisfromhepatocellularcarcinoma AT tetsuroyamashita spontaneousruptureofrenalmetastasisfromhepatocellularcarcinoma |