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CASE REPORT   

Chirurgia 2017 December;30(6):243-6

DOI: 10.23736/S0394-9508.17.04668-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Hepatocarcinoma spontaneous rupture: a case report

Elisa ZANONI 1 , Sara RICCADONNA 1, Massimo FEDI 1, Matteo G. PAROLI 1, Giovanni PASCALE 2, Luca CARMIGNANI 3, Marco COMEGLIO 4, Sandro GIANNESSI 1

1 Unit of Surgery, San Jacopo Hospital, Pistoia, Italy; 2 SS Vascular Surgery, San Jacopo Hospital, Pistoia, Italy; 3 Unit of Interventional Radiology, San Jacopo Hospital, Pistoia, Italy; 4 Unit of Hemodynamics, San Jacopo Hospital, Pistoia, Italy


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Incidence of HCC is increasing throughout the world and it is fifth among the most common cancers wordwide. Spontaneous rupture has been reported in patients with HCC between 3% and 26% and the mortality rate due to ruptured HCC is between 32% and 66%. We present a case of a 75 years old man with a spontaneous rupture of an hepatic lesion, previously unknown. After a CT scan he underwent an explorative laparotomy, but no resection was performed due to the unstable clinical situation. Embolization played a key role in preventing new bleeding while waiting for resective surgery, performed two months later. Multidisciplinary approach to this case has been the solution for a successful treatment.


KEY WORDS: Hemoperitoneum - Liver neoplasms - Rupture, spontaneous

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