| Spontaneous rupture of hepatocellular carcinoma in children. | |
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MedLine Citation:
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PMID: 20859028 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Spontaneous rupture of hepatocellular carcinoma (HCC) with intraperitoneal haemorrhage is a life-threatening complication with a high mortality rate. The mechanism of spontaneous rupture of HCC is unknown. It may be related to venous congestion, haemorrhage, central necrosis, or trauma. Patients with ruptured tumours confirmed on computerised tomography (CT) scan underwent immediate cardiovascular resuscitation. Depending on the stage of the tumour as seen on the CT scan and the condition of the patient, stoppage of bleeding was accomplished by transcutaneous hepatic artery embolisation, selective hepatic artery ligation, or hepatic resection. Only clinically stable, small tumours were resected as an emergency procedure. We report the case of a 12-year-old child admitted with acute right upper quadrant abdominal pain and signs of hypovolaemia. Ultrasonography revealed free peritoneal fluid and left liver haematoma was suspected. CT scan showed a tumour on the left side of the liver and free peritoneal fluid. Emergency laparotomy revealed haemoperitoneum and a 5-cm diameter left liver tumour which was ulcerated and haemorrhagic. The tumour was completely resected. Histopathological examination confirmed a diagnosis of rupture of differentiated HCC. |
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Authors:
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Affes Nejmeddine; Abid Bassem; Boujelben Salah; Beyrouti Mohamed Issam |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: African journal of paediatric surgery : AJPS Volume: 7 ISSN: 0974-5998 ISO Abbreviation: Afr J Paediatr Surg Publication Date: 2010 Sep-Dec |
Date Detail:
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Created Date: 2010-09-22 Completed Date: 2010-10-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101255062 Medline TA: Afr J Paediatr Surg Country: Nigeria |
Other Details:
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Languages: eng Pagination: 188-90 Citation Subset: IM |
Affiliation:
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Department of General Surgery, Habib Bourguiba Hospital, Sfax 3003, Tunisia. affesnejm@yahoo.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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etiology,
radiography Carcinoma, Hepatocellular / radiography, surgery* Child Hemoperitoneum / etiology*, surgery Humans Laparotomy Liver Neoplasms / radiography, surgery* Male Rupture, Spontaneous / complications, radiography Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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