Ann Hepatobiliary Pancreat Surg.  2019 Feb;23(1):77-79. 10.14701/ahbps.2019.23.1.77.

Hemorrhagic extrahepatic recurrence of hepatocellular carcinoma: A case report

Affiliations
  • 1General Surgery Department, Hospital Queen Elizabeth, Sabah, Malaysia. gilbert_yeow@hotmail.com
  • 2Gleneagles Kota Kinabalu, Sabah, Malaysia.

Abstract

The recurrence of hepatocellular carcinoma (HCC) can mainly be divided into two phases or types: the intrahepatic recurrence (IHR) and the extrahepatic recurrence (EHR). Generally speaking, the EHR is usually referenced as being the less common of the two types or categories. In a post-hemihepatectomy patient with routine surveillance at 6 months, it was noted that the patient appeared to have an elevated alpha-fetoprotein, and also complained of vague lower abdominal pain. The accompanying computed tomography scan revealed a 6 cm-sized heterogeneous mass located at the pelvis region. Next, during a laparotomy for resection, the tumor was found to be bleeding from the omental deposition. In conclusion, a high index of suspicion and early surgical intervention can help in detecting possible bleeding extrahepatic recurrence in the background of a patient with history of HCC.

Keyword

Hepatocellular carcinoma; Omental recurrence; Recurrence; Extrahepatic

MeSH Terms

Abdominal Pain
alpha-Fetoproteins
Carcinoma, Hepatocellular*
Hemorrhage
Humans
Laparotomy
Pelvis
Recurrence*
alpha-Fetoproteins

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