Author/Authors :
Ulaş, Murat Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Özer, İlter Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Öter, Volkan Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Aksoy, Erol Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Sakaoğulları, Şükran Ziyşan Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Patoloji Kliniği, Turkey , Bostancı, Erdal Birol Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey
Abstract :
İntraperitoneal hemorajic rupture is a complication of hepatocellular carcinoma that can be mortal. Surgical management and arterial embolisation are the main therapy choices in selected cases. We presented a case of hepatocellular carcinoma with spontaneous rupture and intra-abdominal hemorrhage. A 70 years old male was admitted to emergency department with abdominal pain and unstable hemodynamy. Patient was taken the operation room due to intra-abdominal bleeding. İntraoperatif diagnosis was rupture haemorrhagic solid liver mass and they performed depacking and hemostasis. Then they decided to transport patient to our hospital (tertiary hospital). We perform depacking, liver segment resection (4b) and cholecystectomy operation. Thehistopathological examination for the resected specimen yielded the final diagnosis of welldifferentiated hepatocellular carcinoma. As in this case if there is not enough medical andtechnical equipment for curative surgery than after the first surgical intervention has been done transporting the patient to a tertiary hospital for curative surgery can be saving life.
