[Hemoperitoenum as presentation of hepatocellular carcinoma: experience in three cases with spontaneous tumoral rupture and review of the literature]. / Hemoperitoneo como forma de presentación del carcinoma hepatocelular: experiencia de tres casos con rotura tumoral espontánea y revisión de la literatura.

Hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) constitutes a life-threatening situation if no appropriate therapy is provided. This complication is a well-known form of HCC presentation in countries with high incidence of liver tumours, but is an unusual event in Western countries, where it has been described in 5% or less of cases with HCC. We report three patients admitted to our centre with acute hemoperitoneum secondary to non-traumatic rupture as a first manifestation of not previously diagnosed HCC. A review of the related literature is also performed.

Hemoperitoneo como forma de presentación del carcinoma hepatocelular: experiencia de tres casos con rotura tumoral espontánea y revisión de la literatura / Hemoperitoneum as presentation of hepatocellular carcinoma: experience in three cases with spontaneous tumoral rupture and review of the literature

El hemoperitoneo secundario a la rotura espontánea de un carcinoma hepatocelular (CHC) supone una complicación potencialmente fatal en ausencia de un abordaje terapéutico apropiado. Constituye una forma de presentación tumoral bien establecida en medios con elevada incidencia de CHC, pero resulta infrecuente en países occidentales, donde se describe en menos del 5% de los casos. Presentamos tres pacientes atendidos en nuestro centro por hemoperitoneo agudo secundario a la rotura no traumática de un CHC, en los que dicha complicación constituyó la primera manifestación del proceso neoplásico. Realizamos igualmente una revisión de la literatura relacionada con el tema

Hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma (HCC) constitutes a life-threatening situation if no appropriate therapy is provided. This complication is a well-known form of HCC presentationin countries with high incidence of liver tumours, but is an unusual event in Western countries, where it has been described in 5% or less of cases with HCC. We report three patients admitted to our centre with acute hemoperitoneum secondary to non-traumatic rupture as a first manifestation of not previously diagnosed HCC. A review of the related literature is also performed

Mujer de 53 años con quilotórax y adenopatías mediastínicas y abdominales / Fifty-three year old woman with chylothorax and mediastinal and abdominal lymph node enlargement

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