Hemostatic embolization of hepatocellular carcinoma complicated by hemoperitoneum. Apropos of 2 cases and review of the literature
Boujaoude, J.; Abboud, B.; Slaba, S.; Honein, K.; Slim, R.; Khouri, K.
Le Journal Medical Libanais. Lebanese Medical Journal 48(2): 104-107
2000
ISSN/ISBN: 0023-9852 PMID: 11028160 Document Number: 524012
Rupture of hepatocellular carcinoma is a severe complication that occurs in about 10% of patients. It may occur as a terminal event in patients with advanced disease or it may be the first presentation in a healthy individual. Various treatment options have been proposed, which include conservative treatment, transarterial embolization and operative hemostasis or liver resection. We report intraperitoneal hemorrhage and hypovolemia in two patients with spontaneous rupture of an hepatocellular carcinoma treated successfully by transarterial hepatic embolization. On follow-up, these patients died 7 and 8 months after this treatment respectively.