Treatment of rupture of a liver metastasis from esophageal leiomyosarcoma

Tadatoshi Takayama, Hoichi Kato, Yuji Tachimori, Hiroshi Watanabe, Hiroyoshi Furukawa, Kenichi Takayasu, Michiie Sakamoto, Masatoshi Makuuchi

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18 Citations (Scopus)

Abstract

We describe a case of rupture of a liver metastasis from esophageal leiomyosarcoma which was treated successfully by hepatic arterial embolization, thus facilitating hepatectomy. A 59-year-old woman who had previously undergone esophagectomy for leiomyosarcoma was admitted in a state of hypovolemic shock. Ultrasonography revealed multiple tumors in the left lobe of the liver and massive intraperitoneal hemorrhage, confirmed by paracentesis, possibly due to spontaneous rupture. Subsequent hepatic angiography showed extravasation from the tumor, and embolization of the feeding left hepatic artery was performed. After achieving hemostasis, a left hepatic lobectomy was carried out just beneath the reconstructed stomach tube. The patient made an uneventful recovery and remains well after one year. Emergency arterial embolization followed by hepatectomy is an appropriate treatment for patients with spontaneous rupture of liver metastases.

Original languageEnglish
Pages (from-to)248-251
Number of pages4
JournalJapanese journal of clinical oncology
Volume26
Issue number4
DOIs
Publication statusPublished - 1996 Aug
Externally publishedYes

Keywords

  • Esophageal leiomyosarcoma
  • Hepatic resection
  • Liver metastasis
  • Transcatheter hepatic arterial embolization

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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  • Cite this

    Takayama, T., Kato, H., Tachimori, Y., Watanabe, H., Furukawa, H., Takayasu, K., Sakamoto, M., & Makuuchi, M. (1996). Treatment of rupture of a liver metastasis from esophageal leiomyosarcoma. Japanese journal of clinical oncology, 26(4), 248-251. https://doi.org/10.1093/oxfordjournals.jjco.a023223