Dewar G A, Griffin S M, van Hasselt C A, Lam W Y, Li A K
Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, New Territories.
Aust N Z J Surg. 1991 Sep;61(9):723-5. doi: 10.1111/j.1445-2197.1991.tb00332.x.
Spontaneous rupture of hepatic metastases is rare, there being only 22 cases documented in the literature. We report here the first such case due to nasopharyngeal carcinomatous metastases. This is of interest because in South East Asia ruptured hepatocellular carcinoma is the usual cause of spontaneous fatal haemoperitoneum.