Damage Control Surgery for Hepatocellular Cancer Rupture in an Elderly Patient: Survival and Quality of Life
Joint Authors
Symeonidis, Dimitrios
Tepetes, Konstantinos
Christodoulidis, Grigorios
Diamantis, Alexandros
Bouliaris, Konstantinos
Source
Case Reports in Emergency Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Spontaneous rupture of hepatocellular carcinoma (HCC) is a rare emergency condition with high mortality rate.
Successful management depends on patients’ hemodynamic condition upon presentation and comorbidities, correct diagnosis, HCC status, liver function, and future liver remnant, as well as available sources.
There is still a debate in the literature concerning the best approach in this devastating complication.
Nevertheless, the primary goal should be a definitive bleeding arrest.
In most cases, patients with spontaneous rupture of HCC present with hemodynamic instability, due to hemoperitoneum, necessitating an emergency treatment modality.
In such cases, transcatheter arterial embolization (TAE) should be the treatment of choice.
Emergency liver resection is an option when TAE fails or in cases with preserved liver function and limited tumors.
Otherwise, damage control strategies, as in liver trauma, are a reasonable alternative.
We report a case of an elderly patient with hemoperitoneum and hypovolemic shock from spontaneous rupture of undiagnosed HCC, who was treated successfully by emergency surgery and damage control approach.
American Psychological Association (APA)
Bouliaris, Konstantinos& Christodoulidis, Grigorios& Symeonidis, Dimitrios& Diamantis, Alexandros& Tepetes, Konstantinos. 2015. Damage Control Surgery for Hepatocellular Cancer Rupture in an Elderly Patient: Survival and Quality of Life. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058465
Modern Language Association (MLA)
Bouliaris, Konstantinos…[et al.]. Damage Control Surgery for Hepatocellular Cancer Rupture in an Elderly Patient: Survival and Quality of Life. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058465
American Medical Association (AMA)
Bouliaris, Konstantinos& Christodoulidis, Grigorios& Symeonidis, Dimitrios& Diamantis, Alexandros& Tepetes, Konstantinos. Damage Control Surgery for Hepatocellular Cancer Rupture in an Elderly Patient: Survival and Quality of Life. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058465
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058465