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Hemoperitoneum as a first manifestation of HCC with bleeding from ruptured aberrant vessel: a case report.

Abstract
A young man presented with a history of abdominal pain and distension for 4 days. Diagnosis of spontaneous hemoperitoneum was made after clinical examination, abdominal USG and a diagnostic peritoneal tap. Emergency laparotomy revealed massive hemoperitoneum with extensive bilobar hepato-cellular carcinoma (HCC). A ruptured aberrant vessel communicating between the intercostal vessel and HCC in the liver had caused massive hemoperitoneum.
AuthorsRajeev Kumar Singh, Sunil Kumar, Shandip Kumar Sinha, Tushar Mishra, Shyam Sunder Pachisia
JournalTropical gastroenterology : official journal of the Digestive Diseases Foundation (Trop Gastroenterol) 2006 Jan-Mar Vol. 27 Issue 1 Pg. 48-9 ISSN: 0250-636X [Print] India
PMID16910063 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Carcinoma, Hepatocellular (blood supply, complications, surgery)
  • Hemoperitoneum (etiology, surgery)
  • Humans
  • Liver Neoplasms (blood supply, complications, surgery)
  • Male
  • Neovascularization, Pathologic
  • Rupture (surgery)

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