2016 Volume 36 Issue 6 Pages 1107-1100
A 74-year-old man diagnosed as having rectal cancer with multiple liver and lymph node metastases underwent Miles operation. On postoperative day 4, we recognized sanguineous drainage and abdominal CT showed intraperitoneal bleeding and extravasation of contrast material to intraperitoneal cavity. We made the diagnosis rupture of hepatic metastasis and intraperitoneal bleeding. Emergency TAE was performed, and no further intraperitoneal bleeding was recognized. Rupture of metastatic hepatic tumors, especially of digestive tract origin, is rare as compared to rupture of hepatic cell carcinoma, because of their avascularity and hard capsule. We report a first case of a Ours is the first report of rupture of a hepatic metastasis from rectal cancer colorectal liver metastasis. In this particular case, we suspected that the rupture was caused by severed vessels or rupture of the capsule associated with rapid growth and increased internal pressure of the tumor.
