title: Liver resection for hemoperitoneum caused by spontaneous rupture of unrecognized hepatocellular carcinoma.
abstract: Hepatocellular carcinoma (HCC) is an increasingly common form of cancer. Although its spontaneous rupture is rare in Western countries, it constitutes a surgical emergency and is associated with high mortality. There is a lack of consensus as to the best approach and what parameters to use in choosing it. The three main approaches are conservative, endovascular and resection - the treatment of choice for acute abdominal bleeding. We report a case of hemoperitoneum following the spontaneous rupture of an unrecognized HCV-related HCC in a patient with no history of liver disease. The patient was successfully treated by emergency surgery, with resection of two segments of the left liver.
authors.affiliation: Sapienza University of Rome, Italy.
authors.forename: G E
authors.initials: GE
authors.lastname: Casciaro
authors.forename: E
authors.initials: E
authors.lastname: Spaziani
authors.forename: A
authors.initials: A
authors.lastname: Costantino
authors.forename: F
authors.initials: F
authors.lastname: Ceci
authors.forename: C
authors.initials: C
authors.lastname: Di Grazia
authors.forename: A
authors.initials: A
authors.lastname: Martellucci
authors.forename: M
authors.initials: M
authors.lastname: Pecchia
authors.forename: B
authors.initials: B
authors.lastname: Cipriani
authors.forename: F
authors.initials: F
authors.lastname: De Angelis
authors.forename: S
authors.initials: S
authors.lastname: Corelli
authors.forename: A
authors.initials: A
authors.lastname: Napoleoni
authors.forename: F
authors.initials: F
authors.lastname: Stefanelli
authors.forename: C
authors.initials: C
authors.lastname: Salvadori
authors.forename: M
authors.initials: M
authors.lastname: Parisella
authors.forename: S
authors.initials: S
authors.lastname: Nicodemi
authors.forename: F
authors.initials: F
authors.lastname: Stagnitti
mesh_terms: D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000601:surgery*; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery*; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000601:surgery*; D008297:Male; D012422:Rupture, Spontaneous