Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma
We are reporting a male, 46 years old came to emergency unit with a chief complaint of abdominal tenderness since 1 day prior to admission. No history of abdominal trauma. He often felt abdominal discomfort for the last 5 years. Physical examination revealed decreased consciousness, shock, pale conj...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Interna Publishing
2015-03-01
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| Series: | Acta Medica Indonesiana |
| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/10 |
| _version_ | 1819095271029604352 |
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| author | Nata P Hardjo Lugito Andree Kurniawan Rizki Yaruntradhani Andhika Rachman |
| author_facet | Nata P Hardjo Lugito Andree Kurniawan Rizki Yaruntradhani Andhika Rachman |
| author_sort | Nata P Hardjo Lugito |
| collection | DOAJ |
| description | We are reporting a male, 46 years old came to emergency unit with a chief complaint of abdominal tenderness since 1 day prior to admission. No history of abdominal trauma. He often felt abdominal discomfort for the last 5 years. Physical examination revealed decreased consciousness, shock, pale conjungtiva, distended abdomen, with tenderness of the whole abdomen on palpation, and no bowel movement. Laboratory examination found anemia, leucocytosis, normal amilase and lipase. FAST (focus assissted Sonography on trauma) found massive ascites. Patient underwent cito laparotomic exploration that found blood on abdominal cavity, nodular liver, and actively bleeding tumour of liver. During hospitalization, patient recovered and discharged.
In the case of acute abdomen, spontaneous ruptured hepatocellular carcinoma (HCC) is one of differential diagnosis, considering high incidence of HCC in South East Asia, especially Indonesia. Confirming diagnosis of generalized peritonitis requires abdominal CT scan and ultrasonography, to rule out ruptured HCC.
Key words: hemoperitoneum, ruptured hepatocellular carcinoma |
| first_indexed | 2024-12-21T23:40:39Z |
| format | Article |
| id | doaj.art-8515e06693b44618a25d4ac267489d8b |
| institution | Directory Open Access Journal |
| issn | 0125-9326 2338-2732 |
| language | English |
| last_indexed | 2024-12-21T23:40:39Z |
| publishDate | 2015-03-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj.art-8515e06693b44618a25d4ac267489d8b2022-12-21T18:46:15ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322015-03-0147110Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular CarcinomaNata P Hardjo Lugito0Andree Kurniawan1Rizki Yaruntradhani2Andhika Rachman3Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaWe are reporting a male, 46 years old came to emergency unit with a chief complaint of abdominal tenderness since 1 day prior to admission. No history of abdominal trauma. He often felt abdominal discomfort for the last 5 years. Physical examination revealed decreased consciousness, shock, pale conjungtiva, distended abdomen, with tenderness of the whole abdomen on palpation, and no bowel movement. Laboratory examination found anemia, leucocytosis, normal amilase and lipase. FAST (focus assissted Sonography on trauma) found massive ascites. Patient underwent cito laparotomic exploration that found blood on abdominal cavity, nodular liver, and actively bleeding tumour of liver. During hospitalization, patient recovered and discharged. In the case of acute abdomen, spontaneous ruptured hepatocellular carcinoma (HCC) is one of differential diagnosis, considering high incidence of HCC in South East Asia, especially Indonesia. Confirming diagnosis of generalized peritonitis requires abdominal CT scan and ultrasonography, to rule out ruptured HCC. Key words: hemoperitoneum, ruptured hepatocellular carcinomahttp://www.actamedindones.org/index.php/ijim/article/view/10 |
| spellingShingle | Nata P Hardjo Lugito Andree Kurniawan Rizki Yaruntradhani Andhika Rachman Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma Acta Medica Indonesiana |
| title | Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma |
| title_full | Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma |
| title_fullStr | Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma |
| title_full_unstemmed | Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma |
| title_short | Hemoperitoneum Caused by Spontaneous Rupture of Hepatocellular Carcinoma |
| title_sort | hemoperitoneum caused by spontaneous rupture of hepatocellular carcinoma |
| url | http://www.actamedindones.org/index.php/ijim/article/view/10 |
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