title: Ruptured hepatoma presenting with peritonitis and acute lactic acidosis.
abstract: A case is reported in which a large hepatoma presented with rupture and acute severe lactic acidosis. Spontaneous rupture is a rare but recognised mode of presentation of hepatoma. Malignancy has also occasionally been associated with acute lactic acidosis, though the association with hepatoma has not previously been reported.
authors.affiliation: Department of Surgery, Pilgrim Hospital, Lincolnshire, UK.
authors.forename: J
authors.initials: J
authors.lastname: Kelly
authors.forename: M
authors.initials: M
authors.lastname: al-Fallouji
mesh_terms: D000140:Acidosis, Lactic / Q000209:etiology*; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology*; D012422:Rupture, Spontaneous