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Liver resection for hemoperitoneum caused by spontaneous rupture of unrecognized hepatocellular carcinoma



Liver resection for hemoperitoneum caused by spontaneous rupture of unrecognized hepatocellular carcinoma



Il Giornale di Chirurgia 33(6-7): 221-224



Hepatocellular carcinoma (HCC) is an increasingly common form of cancer. Although its spontaneous rupture is rare in Western countries, it constitutes a surgical emergency and is associated with high mortality. There is a lack of consensus as to the best approach and what parameters to use in choosing it. The three main approaches are conservative, endovascular and resection - the treatment of choice for acute abdominal bleeding. We report a case of hemoperitoneum following the spontaneous rupture of an unrecognized HCV-related HCC in a patient with no history of liver disease. The patient was successfully treated by emergency surgery, with resection of two segments of the left liver.

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Accession: 054146575

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PMID: 22958803


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