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KMID : 1143920180220040416
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Annals of Hepato-Biliary-Pancreatic Surgery
2018 Volume.22 No. 4 p.416 ~ p.418
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Acute haemoperitoneum due to small bowel metastases from hepatocellular carcinoma in a long term survivor following previous rupture
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Shelat Vishal G
Giron Danilo Medina
Oo Aung Myint
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Abstract
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We report a 75-year old patient, presenting with acute abdomen and hemorrhagic shock. He provided history of right hemihepatectomy performed 5 years ago, for ruptured hepatocellular carcinoma on a background of Hepatitis B virus associated liver cirrhosis. A computerized tomography scan showed 5 cm-sized mass exophytic lesion, in the small bowel with haemoperitoneum. An emergency laparotomy and small bowel resection, with primary anastomosis was performed. Histology showed Hep Par 1 stain reactive cells, on the serosal surface of the small bowel. A final diagnosis of metastatic hepatocellular carcinoma was made.
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KEYWORD
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Haemoperitoneum, Hepatocellular carcinoma, Metastasis, Rupture
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