Clinics in diagnostic imaging (116) . Ruptured hepatocellular carcinoma
Pan, J.Y.; Seto, K.Y.; Wai, C.T.
Singapore Medical Journal 48(5): 469-473; Quiz 474
2007
ISSN/ISBN: 0037-5675 PMID: 17453107 Document Number: 607678
A 37-year-old Chinese man with chronic hepatitis B, who frequently defaulted past follow-up appointments, was admitted for acute abdomen and shock. Computed tomography of the abdomen revealed a ruptured hepatocellular carcinoma involving the left lobe. After fluid resuscitation, gelfoam embolisation was performed to arrest the bleeding, followed by segmental resection of the hepatic lesion. There was aggressive recurrence following left segmental hepatectomy, and despite two courses of transarterial chemoembolisation, the patient died of local and pulmonary recurrences five months after his initial presentation. The management of hepatocellular carcinoma rupture is discussed.