| Autor: |
Trillo Parejo P; Servico de Cirugía General, Complexo Hospitalario Cristal-Piñom, Orense., De Diego Gamarra J, Niño Rojo C, Trillo Lista M, Prego Cabeza J |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 1996 Aug; Vol. 88 (8), pp. 569-72. |
| Abstrakt: |
We present the case of a patient with no previous history of liver disease, who required urgent medical care due to dizziness and hypotension. A diagnosis of hemoperitoneum was made by means of ultrasound and fine needle aspiration. The hemoperitoneum source was the spontaneous rupture of a liver tumor whose CT axial scan appearance was suggestive of hepatocarcinoma. The hemorrhage was controlled using intraarterial selective embolization. The rupture of a hepatocarcinoma is a surgical emergency with high mortality. Its early detection using an adequate diagnostic sequence, allows the surgeon to establish a therapeutic procedure as soon possible. Selective intraarterial embolization with alcohol has proved to be an effective procedure in the management of this kind of hemorrhage with a minimum surgical preparation, and allows further surgical interventions. Nevertheless mortality is still high due to the severity of the clinical entity. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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