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Case Reports in Gastroenterology· 2017Q4

Acute Abdomen: A Rare Case of Ruptured Hepatocellular Carcinoma

Severin Gloor, Kai Oliver Jensen, Stefan Breitenstein, Christoph A. Binkert et al.

Short summary

This case report highlights the rare occurrence of spontaneous hepatocellular carcinoma (HCC) rupture, which presents an emergency requiring difficult treatment decisions.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Spontaneous rupture of HCC is a rare but serious emergency.
  • Acute management options include conservative treatment, embolization, and surgery.
  • Liver resection remains the only curative treatment for HCC.
  • Transarterial embolization can serve as a bridging therapy to lower perioperative risks.

AI-generated from the title and abstract; the full text is not read.

Abstract

Spontaneous ruptures of hepatocellular carcinoma (HCC) are rare. Nevertheless they may lead to difficult decisions in the emergency situation. The acute therapies include conservative treatment, transarterial embolization and surgery. Curative treatment of HCC can be achieved by liver resection solely. The decision-making depends on prognostic patient's factors, such as hepatic viral infection status, Child-Pugh grade, liver cirrhosis and number of tumors. In this case transarterial embolization was preferable as a bridging therapy prior to further diagnostics and therapy, to lower the perioperative morbidity and mortality. The therapy of these cases needs an interdisciplinary approach to choose the best possible procedure in each case.

The authors' abstract, as published at the source. Case Reports in Gastroenterology, 2017 · DOI ↗

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Field: Hepatology

HepatologyMedicine