Case Report of Spontaneous Rupture of Hepatocellular Carcinoma: Clinical Presentation, Management, and Outcome

Main Article Content

Ethel Jenny García Cruz
Gamaliel Munive Molina
Sofía Caballero Martínez
Diana Rosas Beltrán

Abstract

Spontaneous rupture of hepatocellular carcinoma (HCC) is a rare but life-threatening complication, presenting with acute abdominal pain and hemodynamic instability. This case report describes the clinical manifestations, diagnostic challenges, and management strategies employed in a patient with spontaneous rupture of HCC. The patient, with underlying cirrhosis, presented with signs of hemorrhagic shock. Immediate resuscitation, imaging, and subsequent embolization were performed to stabilize the patient, followed by definitive treatment. The rarity of this complication, combined with the precarious nature of the underlying liver disease, creates significant therapeutic challenges. This case underscores the need for rapid diagnosis and a multidisciplinary approach to optimize patient outcomes.

Article Details

How to Cite
Ethel Jenny García Cruz, Gamaliel Munive Molina, Sofía Caballero Martínez, & Diana Rosas Beltrán. (2024). Case Report of Spontaneous Rupture of Hepatocellular Carcinoma: Clinical Presentation, Management, and Outcome. International Journal of Medical Science and Clinical Research Studies, 4(08), 1540–1544. https://doi.org/10.47191/ijmscrs/v4-i08-21
Section
Articles

References

I. Zhong F, Cheng XS, He K, Sun SB, Zhou J, Chen HM. Treatment outcomes of spontaneous rupture of hepatocellular carcinoma with hemorrhagic shock: a multicenter study. Springerplus 2016;5(1):1101.

II. Hsueh KC, Fan HL, Chen TW, Chan DC, Yu JC, Tsou SS, Chang TM, Hsieh CB. Management of spontaneously ruptured hepatocellu- lar carcinoma and hemoperitoneum manifested as acute abdo- men in the emergency room. World J Surg 2012;36(11):2670-6.

III. Kung CT, Liu BM, Ng SH, Lee TY, Cheng YF, Chen MC, Ko SF. Transcatheter arterial embolization in the emergency depart- ment for hemodynamic instability due to ruptured hepatocel- lular carcinoma: analysis of 167 cases. AJR Am J Roentgenol 2008;191(6):W231-9.

IV. Li WH, Cheuk EC, Kowk PC, Cheung MT. Survival after transarte- rial embolization for spontaneous ruptured hepatocellular carci- noma. J Hepatobiliary Pancreat Surg 2009;16(4):508-12.

V. Yang T, Sun YF, Zhang J, Lau WY, Lai EC, Lu JH, Shen F, Wu MC. Partial hepatectomy for ruptured hepatocellular carcinoma. Br J Surg 2013;100(8):1071-9.

Most read articles by the same author(s)