Intraperitoneal metastasis of hepatocellular carcinoma after spontaneous rupture: a case report.
Rupture of hepatocellular carcinoma (HCC) is a life-threatening complication. Peritoneal metastasis of HCC after spontaneous rupture was seldom noted. We report a case of intraperitoneal metastasis of HCC after spontaneous rupture. A previously asymptomatic 72-year-old man was admitted due to dull abdominal pain with abdominal fullness. He had a history of HCC rupture 10 mo ago and transarterial embolization was performed at that time. Abdominal computer tomography (CT) scan showed a huge peritoneal mass over the right upper quadrant area. Surgical resection was arranged and subsequent microscopic examination confirmed a diagnosis of moderately-differentiated HCC.
Hung
Min-Chang
MC
Department of Surgery, Chang Bing Show-Chwan Memorial Hospital, Lugang Township, Changhua, Taiwan. hmjjohn@mail2000.com.tw
Wu
Hurng-Sheng
HS
Lee
Yueh-Tsung
YT
Hsu
Chih-Hung
CH
Chou
Dev-Aur
DA
Huang
Min-Ho
MH
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D010534:Peritoneal Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D010537:Peritoneum / Q000000981:diagnostic imaging; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed