+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Hemoperitoneum supporting difficult diagnosis of diffuse hepatocarcinoma in liver cirrhosis



Hemoperitoneum supporting difficult diagnosis of diffuse hepatocarcinoma in liver cirrhosis



Recenti Progressi in Medicina 85(4): 235-237



The cases of two patients with liver cirrhosis HCV-related, admitted in our Department in consequence of the development of ascites, anemia and clinical deterioration, are reported. Both patients had all major risk factors for hepatocellular carcinoma and anamnestic and physical findings suggesting this diagnosis; nevertheless, the alpha-1-fetoprotein serum levels and the ultrasonographic findings were not diagnostic for primary hepatic neoplasm. Explorative paracentesis was diagnostic, demonstrating the presence of hemoperitoneum (the hematocrit ratio in the ascitic fluid was 12 and 10, respectively). Magnetic resonance revealed extensive diffuse hepatocellular carcinoma on both cases. Hemoperitoneum, in patients with liver cirrhosis, in face of non diagnostic levels of alpha-1-fetoprotein and ultrasonographic findings, can be indicative of the spontaneous rupture of a diffuse type of hepatocellular carcinoma.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 043244668

Download citation: RISBibTeXText

PMID: 7517061


Related references

Emergency diagnosis: hemoperitoneum caused by spontaneous rupture of hepatocarcinoma in a patient with liver cirrhosis. Journal de Chirurgie 127(11): 539-541, 1990

Usefulness of ultrasonography in the early diagnosis of hepatocarcinoma in patients with liver cirrhosis. Revista Espanola de Enfermedades Digestivas 87(11): 798-801, 1995

Early diagnosis of hepatocarcinoma: criteria for the performance of screening in patients with liver cirrhosis. Recenti Progressi in Medicina 82(7-8): 394-396, 1991

Liver cirrhosis.An advance on diagnosis and medical treatment.3.From viral chronic hepatitis to liver cirrhosis.A diagnosis of liver cirrhosis.3.Imaging diagnosis of the liver. Nihon Naika Gakkai Zasshi 80(10): 1581-1586, 1991

Liver cirrhosis.An advance on diagnosis and medical treatment.3.From viral chronic hepatitis to liver cirrhosis.A diagnosis of liver cirrhosis.2.From liver function test. Nihon Naika Gakkai Zasshi 80(10): 1575-1580, 1991

The emergency surgical treatment of hemoperitoneum due to the spontaneous rupture of a hepatocarcinoma in a cirrhotic liver. Annali Italiani di Chirurgia 64(1): 83, 1993

Diffuse sclerósing hepatoma. A liver cancer with difficult diagnosis. Medecine and Chirurgie Digestives 6(3): 151-153, 1977

Liver cirrhosis.An advance on diagnosis and treatment.3.From viral chronic hepatitis to liver cirrhosis.The diagnosis of liver cirrhosis.1.From clinical symptoms. Nihon Naika Gakkai Zasshi 80(10): 1572-1574, 1991

Hepatocarcinoma: a difficult diagnosis. Gastroenterologia Y Hepatologia 25(7): 481-482, 2002

Liver cirrhosis.An advance on diagnosis and medical treatment.10.Follow up of patients with liver cirrhosis.From liver cirrhosis to hepatoma. Nihon Naika Gakkai Zasshi 80(10): 1637-1644, 1991

Fatal hemoperitoneum caused by rupture of a subcapsular phlebitic portal vein following liver palpation in carcinoma and cirrhosis of the liver. Die Medizinische 2(50): 1868-1869, 1957

Difficult diagnosis of hemoperitoneum in a patient with a pelvic mass of large size. International Journal of Surgery Case Reports 26: 197-198, 2016

Experimental study on histogenesis of liver cirrhosis induced by shikimin. Report II. Further development of diffuse liver fibrosis to Laennec type of cirrhosis. Tokushima Jour Exptl Med 5(3): 275-287, 1958

Hepatocarcinoma, liver cirrhosis and the HBV. Revista Clinica Espanola 192(7): 305-307, 1993

Ascites and renal insufficiency in a 59-year-old male subjected to liver transplant for hepatocarcinoma on liver cirrhosis. Medicina Clinica 92(14): 547-555, 1989