[Hemoperitoenum as presentation of hepatocellular carcinoma: experience in three cases with spontaneous tumoral rupture and review of the literature].
Hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) constitutes a life-threatening situation if no appropriate therapy is provided. This complication is a well-known form of HCC presentation in countries with high incidence of liver tumours, but is an unusual event in Western countries, where it has been described in 5% or less of cases with HCC. We report three patients admitted to our centre with acute hemoperitoneum secondary to non-traumatic rupture as a first manifestation of not previously diagnosed HCC. A review of the related literature is also performed.
Fernández-Ruiz
M
M
Servicio de Medicina Interna, Hospital Universitario 12 de Octubre, Madrid. mario_fdezruiz@yahoo.es
Guerra-Vales
J M
JM
Llenas-García
J
J
Delgado-García
J M
JM
Gómez-Pellico
C
C
González-Barber
A
A
D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D012422:Rupture, Spontaneous