Spontaneous rupture of hepatocellular carcinoma

Authors

• Faisal M. Al-Mashat, Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia. Tel. +966 (2) 6408346. Fax. +966 (2) 6066607. E-mail: falmashat{at}yahoo.com
• Abdulrahman M. Sibiany, Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia.
• Rashid H. Kashgari, Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia.
• Abdulraouf A. Maimani, DDepartment of Interventional Radiology, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia.
• Asim O. Al-Radi, Departments of Medical Oncology, Surgery and Histopathology, King Abdul-Aziz Hospital and Oncology Center, Jeddah, Kingdom of Saudi Arabia.
• Ibrahim A. Balawy, Departments of Medical Oncology, Surgery and Histopathology, King Abdul-Aziz Hospital and Oncology Center, Jeddah, Kingdom of Saudi Arabia.

Abstract

Hepatocellular carcinoma is the most common malignancy among males and the 7th among female patients in the Kingdom of Saudi Arabia. This is due to the endemicity of hepatitis B and hepatitis C. Spontaneous rupture of hepatocellular carcinoma is rare. We report 4 cases of spontaneous rupture of hepatocellular carcinoma. Initial control of bleeding was achieved surgically in 3 patients and by embolization in the 4th patient. All patients had very good hepatic reserve as reflected by Child-Pough scoring (A & B). We found that the incidence of ruptured hepatocellular carcinoma among 85 patients was 4.7%. The prognosis of this subgroup of patients is poor as reflected by the low median survival ranging from 6-16 weeks.

Article Type

Case Report

First Page

866

Last Page

870

Recommended Citation

Al-Mashat, Faisal M.; Sibiany, Abdulrahman M.; Kashgari, Rashid H.; Maimani, Abdulraouf A.; Al-Radi, Asim O.; and Balawy, Ibrahim A. (2002) "Spontaneous rupture of hepatocellular carcinoma," Saudi Medical Journal: Vol. 23: Iss. 7, Article 24.
DOI: https://doi.org/10.15537/1658-3175.1773