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2025, Number 5

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Acta Med 2025; 23 (5)

Broken hepatocarcinoma: experience in adjuvant management

Gallardo NE, Melchor RJ
Full text How to cite this article 10.35366/121183

DOI

DOI: 10.35366/121183
URL: https://dx.doi.org/10.35366/121183

Language: Spanish
References: 5
Page: 454-456
PDF size: 222.62 Kb.


Key words:

hepatocarcinoma, spontaneous rupture, acute abdomen, hemoperitoneum, TACE.

ABSTRACT

The risk of spontaneous tumor rupture of a hepatocarcinoma with intraperitoneal hemorrhage is a potentially fatal condition, and the first medical management should be the hemodynamic stability of the patient; however, definitive treatment is reserved for oncologic management. We present the case of oncologic multidisciplinary complementary treatment after rupture of hepatocarcinoma, with a complementary approach in the institution, so that first TACE was started and later segmentectomy. Therefore, it is of interest to contribute our experience in the diagnostic and therapeutic management of patients with a history of ruptured hepatocarcinoma.


REFERENCES

  1. Xia F, Ndhlovu E, Zhang M, Chen X, Zhang B, Zhu P. Ruptured hepatocellular carcinoma: current status of research. Front Oncol. 2022; 12: 848903. doi: 10.3389/fonc.2022.848903.

  2. Marini P, Vilgrain V, Belghiti J. Management of spontaneous rupture of liver tumours. Dig Surg. 2002; 19 (2): 109-113.

  3. Ding JH, Chua TC, Al-Mohaimeed K, Morris DL. Hepatocellular carcinoma peritoneal metastases: report of three cases and collective review of the literature. Ann Acad Med Singap. 2010; 39 (9): 734-737.

  4. Lai EC, Lau WY. Spontaneous rupture of hepatocellular carcinoma: a systematic review. Arch Surg. 2006; 141 (2): 191-198. doi: 10.1001/archsurg.141.2.191.

  5. Schiappacasse-Faúndes G, Díaz-Araneda I, Vargas-Hudson P, Vivanco-Lacalle M, Rencoret-Palma G. Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: caso clínico. Rev Méd Chile. 2021; 149 (4): 635-640.




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Acta Med. 2025;23