Hemoperitoneum as a first manifestation of HCC with bleeding from ruptured aberrant vessel: a case report.
A young man presented with a history of abdominal pain and distension for 4 days. Diagnosis of spontaneous hemoperitoneum was made after clinical examination, abdominal USG and a diagnostic peritoneal tap. Emergency laparotomy revealed massive hemoperitoneum with extensive bilobar hepato-cellular carcinoma (HCC). A ruptured aberrant vessel communicating between the intercostal vessel and HCC in the liver had caused massive hemoperitoneum.
Singh
Rajeev Kumar
RK
Department of Surgery (Unit - III), University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi.
Kumar
Sunil
S
Sinha
Shandip Kumar
SK
Mishra
Tushar
T
Pachisia
Shyam Sunder
SS
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000150:complications* / Q000601:surgery; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply / Q000150:complications* / Q000601:surgery; D008297:Male; D009389:Neovascularization, Pathologic; D012421:Rupture / Q000601:surgery