A 68-year-old gentleman presented to us with a low back ache and paraparesis. Magnetic resonance imaging of the spine revealed vertebral body lesion compressing the spinal cord. As part of the preoperative evaluation for spinal decompression surgery, an echocardiography was done which revealed a normal heart with a floating mass in right atrium extending from the inferior vena cava. On further workup, he was diagnosed to have hepatocellular carcinoma with vertebral metastasis. Subsequently, the primary lesion ruptured leading to massive right-sided hemothorax.
SempokuyaT, BolgerDT. Right atrium invasion of tumor thrombus from hepatocellular carcinoma incidentally found on transthoracic echocardiogram. Public Health. 2018;77(6):4.
3.
KojiroM, NakaharaH, SugiharaS, MurakamiT, NakashimaT, KawasakiH. Hepatocellular carcinoma with intra-atrial tumor growth. A clinicopathologic study of 18 autopsy cases. Arch Pathol Lab Med. 1984; 108(12): 989–992.
4.
OnoF, HiragaM, OmuraN, . Hemothorax caused by spontaneous rupture of hepatocellular carcinoma: a case report and review of the literature. World J Surg Onc. 2012;10(1):215. doi:10.1186/1477-7819-10-215.
