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Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report

INTRODUCTION: Laparoscopic liver resection is currently performed as a therapeutic modality in hepatocellular carcinoma (HCC). In an emergency setting such as bleeding or rupture, however it has not been well documented. PRESENTATION OF CASE: We describe a 55-year-old lady who presented to the emerg...

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Main Authors: Allim Khairuddin, Guang, Hong Ong, Jun, Sam Tan, Syamim Johan, Vee, Chuan Hoe, Mohd Sharifudin Sharif, Firdaus Hayati
Format: Article
Language:English
English
Published: https://doi.org/10.1016/j.ijscr.2019.11.055 2020
Subjects:
R Medicine (General)
RG Gynecology and obstetrics
Online Access:https://eprints.ums.edu.my/id/eprint/25077/1/Emergency%20laparoscopic%20resection%20of%20spontaneous%20rupture%20of%20hepatocellular%20carcinoma%20A%20case%20report.pdf
https://eprints.ums.edu.my/id/eprint/25077/7/Emergency%20laparoscopic%20resection%20of%20spontaneous%20rupture%20ofhepatocellular%20carcinoma%20A%20case%20report.pdf
https://eprints.ums.edu.my/id/eprint/25077/
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spelling my.ums.eprints.250772021-01-15T07:49:47Z https://eprints.ums.edu.my/id/eprint/25077/ Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report Allim Khairuddin Guang, Hong Ong Jun, Sam Tan Syamim Johan Vee, Chuan Hoe Mohd Sharifudin Sharif Firdaus Hayati R Medicine (General) RG Gynecology and obstetrics INTRODUCTION: Laparoscopic liver resection is currently performed as a therapeutic modality in hepatocellular carcinoma (HCC). In an emergency setting such as bleeding or rupture, however it has not been well documented. PRESENTATION OF CASE: We describe a 55-year-old lady who presented to the emergency department with epigastric pain and symptoms of anemia for one day duration. She was normotensive but tachycardic. Blood investigations revealed hemoglobin level of 6.5 g/dL and serum alphafetoprotein of 3136 g/dL. Contrast enhanced computed tomography scan revealed ruptured HCC of segment 2 and 3. She underwent emergency laparoscopic resection of the ruptured HCC. The postoperative recovery was uneventful and she was discharged well on postoperative day 7. Histology confirmed a 10 cm ruptured HCC with 3 mm tumorfree resection margin. DISCUSSION: Ruptured HCC is associated with a high mortality rate of 25–75 %. Traditional treatment involves initial stabilization and hemostasis through trans arterial embolization followed by staged hepatic resection. However, laparoscopic liver resection has been shown to be superior than open surgery in terms of postoperative outcomes. CONCLUSION: Laparoscopic resection of bleeding HCC is achievable and can be considered in the treatment algorithm of selected patients. https://doi.org/10.1016/j.ijscr.2019.11.055 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/25077/1/Emergency%20laparoscopic%20resection%20of%20spontaneous%20rupture%20of%20hepatocellular%20carcinoma%20A%20case%20report.pdf text en https://eprints.ums.edu.my/id/eprint/25077/7/Emergency%20laparoscopic%20resection%20of%20spontaneous%20rupture%20ofhepatocellular%20carcinoma%20A%20case%20report.pdf Allim Khairuddin and Guang, Hong Ong and Jun, Sam Tan and Syamim Johan and Vee, Chuan Hoe and Mohd Sharifudin Sharif and Firdaus Hayati (2020) Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report. International Journal of Surgery Case Reports, 66. pp. 104-106.
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic R Medicine (General)
RG Gynecology and obstetrics
spellingShingle R Medicine (General)
RG Gynecology and obstetrics
Allim Khairuddin
Guang, Hong Ong
Jun, Sam Tan
Syamim Johan
Vee, Chuan Hoe
Mohd Sharifudin Sharif
Firdaus Hayati
Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report
description INTRODUCTION: Laparoscopic liver resection is currently performed as a therapeutic modality in hepatocellular carcinoma (HCC). In an emergency setting such as bleeding or rupture, however it has not been well documented. PRESENTATION OF CASE: We describe a 55-year-old lady who presented to the emergency department with epigastric pain and symptoms of anemia for one day duration. She was normotensive but tachycardic. Blood investigations revealed hemoglobin level of 6.5 g/dL and serum alphafetoprotein of 3136 g/dL. Contrast enhanced computed tomography scan revealed ruptured HCC of segment 2 and 3. She underwent emergency laparoscopic resection of the ruptured HCC. The postoperative recovery was uneventful and she was discharged well on postoperative day 7. Histology confirmed a 10 cm ruptured HCC with 3 mm tumorfree resection margin. DISCUSSION: Ruptured HCC is associated with a high mortality rate of 25–75 %. Traditional treatment involves initial stabilization and hemostasis through trans arterial embolization followed by staged hepatic resection. However, laparoscopic liver resection has been shown to be superior than open surgery in terms of postoperative outcomes. CONCLUSION: Laparoscopic resection of bleeding HCC is achievable and can be considered in the treatment algorithm of selected patients.
format Article
author Allim Khairuddin
Guang, Hong Ong
Jun, Sam Tan
Syamim Johan
Vee, Chuan Hoe
Mohd Sharifudin Sharif
Firdaus Hayati
author_facet Allim Khairuddin
Guang, Hong Ong
Jun, Sam Tan
Syamim Johan
Vee, Chuan Hoe
Mohd Sharifudin Sharif
Firdaus Hayati
author_sort Allim Khairuddin
title Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report
title_short Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report
title_full Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report
title_fullStr Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report
title_full_unstemmed Emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: A case report
title_sort emergency laparoscopic resection of spontaneous rupture of hepatocellular carcinoma: a case report
publisher https://doi.org/10.1016/j.ijscr.2019.11.055
publishDate 2020
url https://eprints.ums.edu.my/id/eprint/25077/1/Emergency%20laparoscopic%20resection%20of%20spontaneous%20rupture%20of%20hepatocellular%20carcinoma%20A%20case%20report.pdf
https://eprints.ums.edu.my/id/eprint/25077/7/Emergency%20laparoscopic%20resection%20of%20spontaneous%20rupture%20ofhepatocellular%20carcinoma%20A%20case%20report.pdf
https://eprints.ums.edu.my/id/eprint/25077/
_version_ 1760230320584523776
score 13.211869

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