PT  - JOURNAL ARTICLE
AU  - Al-Mashat, Faisal M.
AU  - Sibiany, Abdulrahman M.
AU  - Kashgari, Rashid H.
AU  - Maimani, Abdulraouf A.
AU  - Al-Radi, Asim O.
AU  - Balawy, Ibrahim A.
AU  - Ahmad, Jamal Eldin A.
TI  - Spontaneous rupture of hepatocellular carcinoma
DP  - 2002 Jul 01
TA  - Saudi Medical Journal
PG  - 866--870
VI  - 23
IP  - 7
4099  - http://smj.org.sa/content/23/7/866.short
4100  - http://smj.org.sa/content/23/7/866.full
SO  - Saudi Med J2002 Jul 01; 23
AB  - 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.