Hepatocellular carcinoma (HCC) is an increasingly common form of cancer. Although its spontaneous rupture is rare in Western countries, it constitutes a surgical emergency and is associated with high mortality. There is a lack of consensus as to the best approach and what parameters to use in choosing it. The three main approaches are conservative, endovascular and resection - the treatment of choice for acute abdominal bleeding. We report a case of hemoperitoneum following the spontaneous rupture of an unrecognized HCV-related HCC in a patient with no history of liver disease. The patient was successfully treated by emergency surgery, with resection of two segments of the left liver.
Liver resection for hemoperitoneum caused by spontaneous rupture of unrecognized hepatocellular carcinoma / Casciaro, Giovanni Enrico; Spaziani, Erasmo; Costantino, A.; Ceci, F.; Di Grazia, C.; Martellucci, A.; Pecchia, M.; Cipriani, B.; De Angelis, F.; Corelli, S.; Napoleoni, A.; Stefanelli, F.; Salvadori, C.; Parisella, M.; Nicodemi, S.; Stagnitti, Franco. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - STAMPA. - 33:6-7(2012), pp. 221-224.
Liver resection for hemoperitoneum caused by spontaneous rupture of unrecognized hepatocellular carcinoma.
CASCIARO, Giovanni Enrico;SPAZIANI, Erasmo;F. De Angelis;STAGNITTI, Franco
2012
Abstract
Hepatocellular carcinoma (HCC) is an increasingly common form of cancer. Although its spontaneous rupture is rare in Western countries, it constitutes a surgical emergency and is associated with high mortality. There is a lack of consensus as to the best approach and what parameters to use in choosing it. The three main approaches are conservative, endovascular and resection - the treatment of choice for acute abdominal bleeding. We report a case of hemoperitoneum following the spontaneous rupture of an unrecognized HCV-related HCC in a patient with no history of liver disease. The patient was successfully treated by emergency surgery, with resection of two segments of the left liver.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.