[
    {
        "id": "osp-10326",
        "type": "article-journal",
        "title": "The Diagnostic Dilemma of Ruptured Liver Metastasis in a Patient with Lung Cancer",
        "author": [
            {
                "family": "Jayanth",
                "given": "K S."
            },
            {
                "family": "Madan",
                "given": "Shivakumar"
            },
            {
                "family": "Gurushankari",
                "given": "Balakrishnan"
            },
            {
                "family": "Sureshkumar",
                "given": "Sathasivam"
            },
            {
                "family": "Anandhi",
                "given": "Amaranathan"
            },
            {
                "family": "G",
                "given": "Rajesh N."
            },
            {
                "family": "Kate",
                "given": "Vikram"
            }
        ],
        "URL": "https://omanscience.com/en/articles/the-diagnostic-dilemma-of-ruptured-liver-metastasis-in-a-patient-with-lung-cancer",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "22",
        "issue": "3",
        "page": "421-425",
        "DOI": "10.18295/squmj.6.2021.091",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "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."
    }
]