Korean J Gastroenterol.  1998 Jul;32(1):110-114.

Hemoperitoneum Secondary to Rupture of Metastatic Hepatocellular Carcinoma : A Case Report

• Cho SW
• Lee SH
• Lee CD
• Choi SW
• Yang JM
• Oh SH
• Kim SS
• Chae HS
• Jang JS
• Song HH
• Park SH

Abstract

A 56-year-old man who, one year ago, had received left lateral segmentectomy of the liver secondary to ruptured hepatocellular carcinoma, was admitted with hemoperitoneum. The abdominal CT scan revealed several nodules in the intraperitoneal cavity with no definite tumor recurrence on the liver. The celiac angiography revealed no definite tumor staining on the liver, but showed a large amount of leakage of dye from hypervascular mass on the peritoneum supplied from gastroduodenal artery. The bleeding was successfully controlled with transarterial chemoembolization on that bleeding vessel. After a second transarterial chemoembolization, he was discharged in improved condition. Thereafter, two sessions of transarterial chemoembolization were performed on that metastatic tumor, and he has been in healthy condition until now.

Keyword

Hepatocellular carcinoma; Hemoperitoneum; Ruptured metastatic nodule; Transar-terial chemoembolization

MeSH Terms

Angiography
Arteries
Carcinoma, Hepatocellular*
Hemoperitoneum*
Hemorrhage
Humans
Liver
Mastectomy, Segmental
Middle Aged
Peritoneum
Recurrence
Rupture*
Tomography, X-Ray Computed