Grunzke Mindy, Schreiner Teri, Thomison John B, Jedlicka Paul, Albano Edythe
Department of Pediatrics, University of Colorado Denver, CO, USA.
J Pediatr Hematol Oncol. 2009 Oct;31(10):756-7. doi: 10.1097/MPH.0b013e3181b78530.
During hospitalization for evaluation of a large testicular tumor with extensive metastatic disease, this 14-year-old boy collapsed while showering and could not be resuscitated. At autopsy, there was no evidence of thromboembolic phenomenon, a known cause of sudden death in metastatic testicular tumors and other large abdominal tumors. However, marked compression of the inferior vena cava by a large pelvicoabdominal tumor mass and findings suggestive of systemic-portal shunting were consistent with the death due to the impaired venous return via the inferior vena cava.
在因广泛转移性疾病而住院评估巨大睾丸肿瘤期间，这名14岁男孩在淋浴时突然晕倒，未能抢救过来。尸检时，未发现血栓栓塞现象的证据，而血栓栓塞现象是转移性睾丸肿瘤和其他大型腹部肿瘤患者猝死的已知原因。然而，盆腔腹部巨大肿瘤块对下腔静脉的明显压迫以及提示体循环-门静脉分流的发现与因下腔静脉静脉回流受损导致的死亡相符。
