Presentation
Abdominal pain.
Patient Data
Age: 60 years
Gender: Male
From the case:
Spontaneous rupture of hepatic metastases
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Enlarged liver with multiple rounded hypodense mild enhancing lesions. A hypodense lobulated mass on the gastric wall near the cardia is noted. Free abdominal fluid, with higher density near the liver (50HU).
Case Discussion
The patient presented with abdominal pain and anemia. CT showed a gastric tumor with multiple liver metastases and abdominal fluid, which revealed high density suggestive of acute bleeding. He underwent surgery, that confirmed the diagnosis and the ruptured liver metastasis was sutured.