Hepatocellular Carcinoma in Pregnancy withUnusual Presentations

Autor: Norouzi, Alireza, Naeimi Tabei, Mohammad, Tavassoli, Samaneh, Besharat, Sima
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Middle East Journal of Digestive Diseases
ISSN: 2008-5249
2008-5230
Popis: Hepatocellular carcinoma (HCC) is very rare during pregnancy and has a worse prognosis in pregnant women compared to those who are not pregnant. We present a case of HCC in a 41- year-old pregnant patient who was referred to our academic hospital.The patient presented with chief complaints of abdominal pain, jaundice, edema and hypertension. Laboratory results were notable for elevated liver enzymes and features of microangiopathic hemolytic anemia with normal alpha fetoprotein (AFP) and elevated cancer antigen 125 (CA125). At laparotomy for termination of pregnancy, multiple massive lesions were detected in the liver. Histologic evaluation showed features of HCC.HCC must be included in the differential diagnosis of any pregnant patient who presents with elevated liver enzymes and hemolysis.
Databáze: OpenAIRE