[Selective intra-arterial embolization in spontaneous rupture of hepatocarcinoma].
We present the case of a patient with no previous history of liver disease, who required urgent medical care due to dizziness and hypotension. A diagnosis of hemoperitoneum was made by means of ultrasound and fine needle aspiration. The hemoperitoneum source was the spontaneous rupture of a liver tumor whose CT axial scan appearance was suggestive of hepatocarcinoma. The hemorrhage was controlled using intraarterial selective embolization. The rupture of a hepatocarcinoma is a surgical emergency with high mortality. Its early detection using an adequate diagnostic sequence, allows the surgeon to establish a therapeutic procedure as soon possible. Selective intraarterial embolization with alcohol has proved to be an effective procedure in the management of this kind of hemorrhage with a minimum surgical preparation, and allows further surgical interventions. Nevertheless mortality is still high due to the severity of the clinical entity.
Trillo Parejo
P
P
Servico de Cirugía General, Complexo Hospitalario Cristal-Piñom, Orense.
De Diego Gamarra
J
J
Niño Rojo
C
C
Trillo Lista
M
M
Prego Cabeza
J
J
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D004621:Embolization, Therapeutic / Q000379:methods*; D006465:Hemoperitoneum / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D012422:Rupture, Spontaneous
Embolización selectiva intraarterial en ruptura espontánea de hepatocarcinoma.