Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2012 , Vol 3, Issue 1
A Case of Non-Mortal Spontaneous Rupture of Hepatocellular Carcinoma
Gürhan Şişman, İbrahim Hatemi
İstanbul Universitesi Cerrahpasa Tip Fakultesi, Gastroenteroloji Bilim Dalı, İstanbul, Türkiye Spontaneous rupture is a frequently mortal complication of the hepatocellular carcinoma. Although surgical management and arterial embolisation are the main therapy choices in selected cases, some cases can survive with conservative medical therapy alone. We presented a case of non mortal hepatocellular carcinoma rupture. A 67 years old male with alcoholic liver cirrhosis and hepatocellular carcinoma was admitted to emergency department with abdominal pain and hemodynamic shock. The possibility of the spontaneous rupture of hepatocellular carcinoma was thought because of the presence of the hemodynamic schock which occured after a period of a severe abdominal pain. This diagnosis became definite as the ascites fluid was hemorragic and findings of abdominal computerised tomography scan were supporting the diagnosis. He had conservative medical treatment at the intensive care unit, hemodynamic shock resolved in a few hours and finally he was discharged from hospital 12 days later from the admission. Keywords : hepatocellular carcinoma, spontaneous rupture, therapeutics