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Revista Cubana de Medicina Militar
versión On-line ISSN 1561-3046
Resumen
ESPINOSA RODRIGUEZ, Yeney; FUENTES ROJAS, Josué; BONACHEA PENA, René Rafael y BETANCOURT CERVANTES, Julio Roberto. Hemoperitoneum secondary to rupture of hepatocellular carcinoma. Rev Cub Med Mil [online]. 2021, vol.50, n.3 Epub 01-Sep-2021. ISSN 1561-3046.
Introduction:
Hepatocellular carcinoma is a hypervascular tumor made up of abnormal blood vessels. It is the most frequent form of primary liver cancer. About 90 % of these tumors develop over a previous liver disease. An increase in vascular load due to portal hypertension leads to bleeding.
Objective:
To present a patient who underwent emergency exploratory laparotomy due to large hemoperitoneum secondary to an intratumoral rupture of a cirrhotic liver.
Clinical case:
A 66-year-old male patient with a pathological history of type 2 diabetes mellitus, benign prostatic hyperplasia, chronic alcoholism and liver cirrhosis. He came to emergency due to diffuse abdominal pain, as well as signs of acute hypovolemia. An emergency laparotomy was performed, confirming a large hemoperitoneum secondary to an intratumoral rupture. Blood content aspiration, electrocoagulation and compression by packing were performed, managing to control bleeding. He had a torpid evolution, dying 24 hours after the laparotomy.
Conclusions:
Hemoperitoneum secondary to rupture of a hepatocellular carcinoma is a rare, but fatal complication; therefore, its study is necessary to achieve a timely diagnosis and treatment.
Palabras clave : hepatocellular carcinoma; liver cirrhosis; hemoperitoneum.