RT Journal Article
SR Electronic
T1 Spontaneous rupture of hepatocellular carcinoma
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 866
OP 870
VO 23
IS 7
A1 Al-Mashat, Faisal M.
A1 Sibiany, Abdulrahman M.
A1 Kashgari, Rashid H.
A1 Maimani, Abdulraouf A.
A1 Al-Radi, Asim O.
A1 Balawy, Ibrahim A.
A1 Ahmad, Jamal Eldin A.
YR 2002
UL http://smj.org.sa/content/23/7/866.abstract
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.