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Hemopneumothorax and hemoperitoneum in a case with large cell carcinoma of the lung.

Abstract
Hemopneumothorax and hemoperitoneum coincide rarely in nontraumatic cases. Here, a 70-year-old male presented a left axillary lymph node and was diagnosed as having metastatic squamous cell carcinoma. Under the same diagnosis, another lesion developed in the right femur and was resected. One year later, computed tomography detected another tumor in the left adrenal gland. Shortly afterwards, left pneumothorax developed and a chest operation revealed hemopneumothorax due to a ruptured cavitary form of large cell carcinoma. The serum showed a human chorionic gonadotropin-beta level of 1,100 ng/ml. At three-months later, he died of hemoperitoneum. The autopsy demonstrated hepatic metastases and a ruptured adrenal metastasis; microscopy showed marked trophoblastic and squamous cell changes in these organs. This patient was unique in that the rupture of the pulmonary and the adrenal lesions caused clinical manifestation.
AuthorsJ Yoshida, T Kajiwara, M Akao, A Tanimura
JournalThe Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 48 Issue 3 Pg. 190-3 (Mar 2000) ISSN: 1344-4964 [Print] Japan
PMID10793500 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Carcinoma, Non-Small-Cell Lung (complications)
  • Carcinoma, Squamous Cell (complications)
  • Hemoperitoneum (etiology)
  • Hemopneumothorax (etiology)
  • Humans
  • Lung Neoplasms (complications)
  • Male

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