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Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: caso clínico / Hematocele and hemoperitoneum as initial manifestation of hepatocellular carcinoma: report of one case
Schiappacasse-Faúndes, Giancarlo; Díaz-Araneda, Israel; Vargas-Hudson, Patricio; Vivanco-Lacalle, Marcelo; Rencoret-Palma, Guillermo.
Affiliation
  • Schiappacasse-Faúndes, Giancarlo; Universidad del Desarrollo. Facultad de Medicina. Santiago. CL
  • Díaz-Araneda, Israel; Clínica Alemana-Universidad del Desarrollo. Facultad de Medicina. Santiago. CL
  • Vargas-Hudson, Patricio; Universidad del Desarrollo. Facultad de Medicina Clínica Alemana. Santiago. CL
  • Vivanco-Lacalle, Marcelo; Clínica Alemana. Departamento de Cirugía. Santiago. CL
  • Rencoret-Palma, Guillermo; Clínica Alemana. Departamento de Cirugía. Santiago. CL
Rev. méd. Chile ; 149(4): 635-640, abr. 2021. ilus, tab
Article in Es | LILACS | ID: biblio-1389484
Responsible library: CL1.1
ABSTRACT
Hepatocellular carcinoma (HCC) rupture is a rare complication, with a higher prevalence in countries of Asia and Europe. Its clinical manifestations can be nonspecific, from abdominal pain and bloating to hemodynamic involvement. We report a 70-year-old male patient with a history of chronic liver disease, presenting with an enlargement and ecchymosis of the scrotum, associated with abdominal bloating. The initial abdominal ultrasound study showed increased liquid content in the scrotal sac and regional edema. A CT of the abdomen and pelvis showed a liver mass with characteristics of hepatocellular carcinoma, associated with extensive hemoperitoneum that drained into the scrotal sac. The patient was treated with embolization of the right hepatic artery and later with surgical resection of the tumor mass, with a good clinical evolution.
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Full text: 1 Index: LILACS Main subject: Carcinoma, Hepatocellular / Liver Neoplasms Type of study: Risk_factors_studies Limits: Aged / Humans / Male Language: Es Journal: Rev. méd. Chile Journal subject: MEDICINA Year: 2021 Type: Article

Full text: 1 Index: LILACS Main subject: Carcinoma, Hepatocellular / Liver Neoplasms Type of study: Risk_factors_studies Limits: Aged / Humans / Male Language: Es Journal: Rev. méd. Chile Journal subject: MEDICINA Year: 2021 Type: Article