Hemoperitoneum secondary to rupture of hepatocellular carcinoma

Authors

Keywords:

hepatocellular carcinoma, liver cirrhosis, hemoperitoneum.

Abstract

Introduction: Hepatocellular carcinoma is a hypervascular tumor made up of abnormal blood vessels. It is the most frequent form of primary liver cancer. About 90 % of these tumors develop over a previous liver disease. An increase in vascular load due to portal hypertension leads to bleeding. 
Objective: To present a patient who underwent emergency exploratory laparotomy due to large hemoperitoneum secondary to an intratumoral rupture of a cirrhotic liver. 
Clinical case: A 66-year-old male patient with a pathological history of type 2 diabetes mellitus, benign prostatic hyperplasia, chronic alcoholism and liver cirrhosis. He came to emergencydue to diffuse abdominal pain, as well as signs of acute hypovolemia. An emergency laparotomy was performed, confirming a large hemoperitoneum secondary to an intratumoral rupture. Blood content aspiration, electrocoagulation and compression by packing were performed, managing to control bleeding. He had a torpid evolution, dying 24 hours after the laparotomy. 
Conclusions: Hemoperitoneum secondary to rupture of a hepatocellular carcinoma is a rare, but fatal complication; therefore, its study is necessary to achieve a timely diagnosis and treatment.

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References

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Published

2021-07-01

How to Cite

1.
Espinosa Rodríguez Y, Fuentes Rojas J, Bonachea Peña RR, Betancourt Cervantes JR. Hemoperitoneum secondary to rupture of hepatocellular carcinoma. Rev Cubana Med Milit [Internet]. 2021 Jul. 1 [cited 2025 Jul. 11];50(3):e02101095. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1095

Issue

Vol. 50 No. 3 (2021): July - September

Section

Case Presentation

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