Hepatosellüler karsinomada spontan intraperitoneal hemorajik rüptür: Olgu sunumu

Murat Ulaş, İlter Özer, Volkan Öter, Erol Aksoy, Şükran Ziyşan Sakaoğulları, Erdal Birol Bostancı
1.059 584

Abstract


İntraperitoneal hemorajic rupture is a complication of hepatocellular carcinoma that can be mortal. Surgical management and arterial embolisation are the main therapy choices in selected cases. We presented a case of hepatocellular carcinoma with spontaneous rupture and intra-abdominal hemorrhage. A 70 years old male was admitted to emergency department with abdominal pain and unstable hemodynamy. Patient was taken the operation room due to intra-abdominal bleeding. İntraoperatif diagnosis was rupture haemorrhagic solid liver mass and they performed depacking and hemostasis. Then they decided to transport patient to our hospital (tertiary hospital). We perform depacking, liver segment resection (4b) and cholecystectomy operation. The histopathological examination for the resected specimen yielded the final diagnosis of welldifferentiated hepatocellular carcinoma. As in this case if there is not enough medical and technical equipment for curative surgery than after the first surgical intervention has been done transporting the patient to a tertiary hospital for curative surgery can be saving life.

Keywords


Hepatocellular carcinoma, spontaneous rupture, therapeutic

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DOI: http://dx.doi.org/10.7197/cmj.v36i3.1008002469

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