| Title | [Suspicion of a newly appearing hypertrophic obstructive cardiomyopathy in a patient treated for hepatocellular carcinoma] | | Author(s) | Ciesek S, Kirchhoff T, Niehaus M, Manns MP, Greten TF | | Institution | Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover. sandra_ciesek@hotmail.de | | Source | Dtsch Med Wochenschr 2008 Oct; 133(43):2209-12. | | MeSH | Abdomen
Adult
Carcinoma, Hepatocellular
Cardiomyopathy, Hypertrophic
Coronary Angiography
Diagnosis, Differential
Echocardiography
Electrocardiography
Fatal Outcome
Female
Heart Neoplasms
Hepatectomy
Humans
Liver Neoplasms
Lung Neoplasms
Magnetic Resonance Imaging
Pelvic Neoplasms
Tomography, X-Ray Computed
| | Abstract | HISTORY AND ADMISSION
FINDINGS: A 42-year-old women presented with shortness of breath, tachycardia and weakness to our department. Five years ago she had been diagnosed with hepatocellular carcinoma for which an extended hemihepatectomy had been performed. INVESTIGATIONS, DIAGNOSIS AND TREATMENT: The clinical examination revealed a systolic murmur over the artic region. Echocardiography showed an hypertrophed interventricular septum with signs like those in hypertrophic obstructive cardiomyopathy. Ultrasound demonstrated a cystic mass in the pelvis highly suspicious of a metastasis of a hepatocellular carcinoma. Fine needle biopsy confirmed the diagnosis of a metastatic lesion of hepatocellular carcinoma. Computed tomography demonstrated metastase in the lung and a space-occupying in the interventricular septum. The patients underwent resection of the lung and pelvic metastasis and died a few weeks later.
CONCLUSION: This case demonstrates the rare occurence of a metastasis to the heart, imitating obstructive cardiac myopathy, in a patient with hepatocellular carcinoma. | | Language | ger | | Pub Type(s) | Case Reports
English Abstract
Journal Article
| | PubMed ID | 18924054 |
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