Spontaneous rupture of liver metastasis tumors with disturbance of consciousness and progression of hemiplegia as the first manifestation: a case report

Abstract

Objective: rupture of liver metastases with disturbance of consciousness accompanied by aggravation of hemiplegia is very rare. We describe the clinical features of a case of spontaneous rupture of liver metastasis tumors with disturbance of consciousness and progression of right limb hemiplegia. Methods: collect the patient’s medical history, conduct a detailed physical examination, timely improve the relevant laboratory and imaging examination, formulate a comprehensive treatment plan, and track the changes of the disease and the treatment effect. Results: the patient presented with blurred consciousness, hemiplegia of the right limb, and epigastric tenderness when admitted to the hospital. No evident new lesions were found on cranial computed tomography (CT). Blood routine examination showed that hemoglobin decreased significantly compared with before. Abdominal CT showed tumor rupture and bleeding. The patient in critical condition did not have operation conditions, but improved after conservative treatment. Conclusion: when patients with liver metastasis tumors suddenly have a disturbance of consciousness and progress of hemiplegia, they should not only be considered to have acute cerebrovascular diseases, but also the possibility of rupture of liver metastasis tumors. If only treated according to acute stroke, it will endanger their lives. For the liver metastasis tumor rupture, if there is no opportunity for embolotherapy, timely conservative treatment with drugs can also achieve good results.

Keywords

liver metastasis tumors / hemiplegia / trousseau syndrome / embolotherapy / cerebral infarction