Abstract
Spontaneous rupture of a metastatic liver tumour is rarely documented in the literature when compared to hepatocellular carcinoma and other liver lesions, especially from a lung primary. We report a case of ruptured liver metastasis from an adenocarcinoma of the lung mimicking ruptured liver abscess, challenging the clinical diagnosis. A 42-year-female patient presented to a tertiary care institute in 2020 with complaints of abdominal pain, breathlessness and fever. On examination, the patient was tachypnoeic with a right hypochondriac mass. A contrast-enhanced computed tomography of abdomen and thorax revealed an ill-defined heterogeneously enhancing lesion in the liver with a communicating subcapsular collection and hypo-enhancing lesions in the left lobe and heterogeneously enhancing lesion in the left lung. Adenocarcinoma of the lung with hepatic metastasis was confirmed with a core needle biopsy. The patient was managed conservatively with intravenous antibiotics, intercostal drainage tube and gefitinib. However, despite best efforts, the patient succumbed to the disease.
Subject
Publication details
- DOI
- 10.18295/squmj.6.2021.091
- Journal
- Sultan Qaboos University Medical Journal, 22(3), 421-425
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Jayanth, K. S., Madan, S., Gurushankari, B., Sureshkumar, S., Anandhi, A., G, R. N., & Kate, V. (2025). The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer. Sultan Qaboos University Medical Journal, 22(3), 421-425. https://doi.org/10.18295/squmj.6.2021.091
MLA 9
Jayanth, K S., et al. "The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer." Sultan Qaboos University Medical Journal, vol. 22, no. 3, 2025, pp. 421-425. https://doi.org/10.18295/squmj.6.2021.091.
Chicago (author–date)
Jayanth, K S., Shivakumar Madan, Balakrishnan Gurushankari, Sathasivam Sureshkumar, Amaranathan Anandhi, Rajesh N. G, and Vikram Kate. 2025. "The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer." Sultan Qaboos University Medical Journal 22 (3): 421-425. https://doi.org/10.18295/squmj.6.2021.091.
Harvard
Jayanth, K. S., Madan, S., Gurushankari, B., Sureshkumar, S., Anandhi, A., G, R. N. and Kate, V. (2025) 'The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer', Sultan Qaboos University Medical Journal, 22(3), pp. 421-425. doi:10.18295/squmj.6.2021.091.
Vancouver
Jayanth KS, Madan S, Gurushankari B, Sureshkumar S, Anandhi A, G RN, et al. The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer. Sultan Qaboos University Medical Journal. 2025;22(3):421-425. doi:10.18295/squmj.6.2021.091
IEEE
K. S. Jayanth, S. Madan, B. Gurushankari, S. Sureshkumar, A. Anandhi, R. N. G, and V. Kate, "The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer," Sultan Qaboos University Medical Journal, vol. 22, no. 3, pp. 421-425, 2025, doi: 10.18295/squmj.6.2021.091.