Wei Yu-Feng, Wang Hao-Chien, Chang Yi-Chen
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2006 Apr;105(4):346-8. doi: 10.1016/S0929-6646(09)60127-3.
Hemoperitoneum caused by ruptured hepatocellular carcinoma (HCC) is not uncommon in patients with HCC. Hemothorax due to rupture of metastatic HCC, however, is a very rare complication with high mortality because of uncontrollable hemorrhage. We describe a 42-year-old male HCC patient with chest wall metastasis complicated by hemothorax with an unusual presentation of massive hemoptysis. He received tube thoracotomy immediately and emergency surgery because of persistent bleeding. Hemostasis was achieved transiently. Despite intensive care, he died of multiple organ failure on the 6th postoperative day. We conclude that hemothorax due to a ruptured HCC, as in this case, indicates a very poor prognosis despite intensive treatment.
肝细胞癌（HCC）破裂引起的腹腔积血在HCC患者中并不少见。然而，转移性HCC破裂导致的血胸是一种非常罕见的并发症，由于出血难以控制，死亡率很高。我们描述了一名42岁的男性HCC患者，其胸壁转移并发血胸，并伴有大量咯血这一不寻常表现。由于持续出血，他立即接受了开胸手术和急诊手术。出血暂时得到控制。尽管进行了重症监护，他还是在术后第6天死于多器官功能衰竭。我们得出结论，如本例所示，HCC破裂导致的血胸，尽管经过积极治疗，预后仍然很差。
