title: Spontaneous rupture of hepatocellular carcinoma.
abstract: Hepatocellular carcinoma is the most common malignancy among males and the 7th among female patients in the Kingdom of Saudi Arabia. This is due to the endemicity of hepatitis B and hepatitis C. Spontaneous rupture of hepatocellular carcinoma is rare. We report 4 cases of spontaneous rupture of hepatocellular carcinoma. Initial control of bleeding was achieved surgically in 3 patients and by embolization in the 4th patient. All patients had very good hepatic reserve as reflected by Child-Pugh scoring (A & B). We found that the incidence of ruptured hepatocellular carcinoma among 85 patients was 4.7%. The prognosis of this subgroup of patients is poor as reflected by the low median survival ranging from 6-16 weeks.
authors.affiliation: Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia. falmashat@yahoo.com
authors.forename: Faisal M
authors.initials: FM
authors.lastname: Al-Mashat
authors.forename: Abdulrahman M
authors.initials: AM
authors.lastname: Sibiany
authors.forename: Rashid H
authors.initials: RH
authors.lastname: Kashgari
authors.forename: Abdulraouf A
authors.initials: AA
authors.lastname: Maimani
authors.forename: Asim O
authors.initials: AO
authors.lastname: Al-Radi
authors.forename: Ibrahim A
authors.initials: IA
authors.lastname: Balawy
authors.forename: Jamal Eldin A
authors.initials: JE
authors.lastname: Ahmad
mesh_terms: D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012422:Rupture, Spontaneous