Korean J Obstet Gynecol.  2005 Jul;48(7):1782-1787.

A case of spontaneous hepatic rupture in a patient with primary hepatocellular carcinoma during the puerperium

• Park JC
• Kwon SH
• Rhee JH
• Kim JI

Abstract

Hepatocellular carcinoma associated with pregnancy is rarely encountered, since hepatocellular carcinoma is usually developed after childbearing ages and severe menstrual irregularity and infertility with disturbance of estrogen metabolism is often accompanied with cirrhosis that is a most common underlying disease of primary hepatocellular carcinoma. Spontaneous hepatic rupture in pregnancy is a rare condition associated with significant maternal and perinatal mortality and could be developed related with severe preeclampsia and especially HELLP syndrome but possible related with hepatocellular carcinoma. We report a case of spontaneous hepatic rupture during the puerperium in a patient with hepatocellular carcinoma with a brief review of literatures.

Keyword

Primary hepatocellular carcinoma; Spontaneous hepatic rupture; Puerperium

MeSH Terms

Carcinoma, Hepatocellular*
Estrogens
Female
Fibrosis
HELLP Syndrome
Humans
Infertility
Metabolism
Perinatal Mortality
Postpartum Period*
Pre-Eclampsia
Pregnancy
Rupture*
Estrogens