Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico

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 d...

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Autores principales: Schiappacasse-Faúndes,Giancarlo, Díaz-Araneda,Israel, Vargas-Hudson,Patricio, Vivanco-Lacalle,Marcelo, Rencoret-Palma,Guillermo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400635
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spelling oai:scielo:S0034-988720210004006352021-08-26Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínicoSchiappacasse-Faúndes,GiancarloDíaz-Araneda,IsraelVargas-Hudson,PatricioVivanco-Lacalle,MarceloRencoret-Palma,Guillermo Carcinoma, Hepatocellular Embolization, Therapeutic Hemoperitoneum Hematocele Therapeutic Embolization 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.4 20212021-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400635es10.4067/s0034-98872021000400635
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Carcinoma, Hepatocellular
Embolization, Therapeutic
Hemoperitoneum
Hematocele
Therapeutic Embolization
spellingShingle Carcinoma, Hepatocellular
Embolization, Therapeutic
Hemoperitoneum
Hematocele
Therapeutic Embolization
Schiappacasse-Faúndes,Giancarlo
Díaz-Araneda,Israel
Vargas-Hudson,Patricio
Vivanco-Lacalle,Marcelo
Rencoret-Palma,Guillermo
Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico
description 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.
author Schiappacasse-Faúndes,Giancarlo
Díaz-Araneda,Israel
Vargas-Hudson,Patricio
Vivanco-Lacalle,Marcelo
Rencoret-Palma,Guillermo
author_facet Schiappacasse-Faúndes,Giancarlo
Díaz-Araneda,Israel
Vargas-Hudson,Patricio
Vivanco-Lacalle,Marcelo
Rencoret-Palma,Guillermo
author_sort Schiappacasse-Faúndes,Giancarlo
title Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico
title_short Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico
title_full Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico
title_fullStr Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico
title_full_unstemmed Hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: Caso clínico
title_sort hematocele y hemoperitoneo como manifestación inicial de carcinoma hepatocelular: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400635
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