Hemoperitoneum secondary to rupture of hepatocellular carcinoma

• Main Authors: Yeney Espinosa Rodríguez, Josué Fuentes Rojas, Rene Rafael Bonachea Peña, Julio Roberto Betancourt Cervantes
• Format: Article
• Language: Spanish
• Published: ECIMED 2021-07-01
• Series: Revista Cubana de Medicina Militar
• Subjects: carcinoma hepatocelular; cirrosis hepática; hemoperitoneo.
• Online Access: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1095

Introduction: Hepatocellular carcinoma is a hypervascular tumor made up of abnormal blood vessels. It is the most frequent form of primary liver cancer. About 90 % of these tumors develop over a previous liver disease. An increase in vascular load due to portal hypertension leads to bleeding.  Objective: To present a patient who underwent emergency exploratory laparotomy due to large hemoperitoneum secondary to an intratumoral rupture of a cirrhotic liver.  Clinical case: A 66-year-old male patient with a pathological history of type 2 diabetes mellitus, benign prostatic hyperplasia, chronic alcoholism and liver cirrhosis. He came to emergencydue to diffuse abdominal pain, as well as signs of acute hypovolemia. An emergency laparotomy was performed, confirming a large hemoperitoneum secondary to an intratumoral rupture. Blood content aspiration, electrocoagulation and compression by packing were performed, managing to control bleeding. He had a torpid evolution, dying 24 hours after the laparotomy.  Conclusions: Hemoperitoneum secondary to rupture of a hepatocellular carcinoma is a rare, but fatal complication; therefore, its study is necessary to achieve a timely diagnosis and treatment.