Abstract
We report here a long-term survivor of ruptured hepatocellular carcinoma (HCC). A 37-year-old Japanese man complained of sudden abdominal pain after taking an alcoholic drink. Ultrasonographic examination showed a large amount of fluid in the abdominal cavity. Emergency laparotomy was performed. A solid mass showing extrahepatic growth was present in the right lobe of the liver. No active bleeding site was detected, but the tumor was covered with old blood coagula. The tumor was covered with the greater omentum to prevent further hemorrhage. Following assessment of the extent of the tumor and of liver function, delayed hepatectomy was performed. Histological examination indicated the tumor to be HCC. Twenty-six months after initial hepatic resection, partial resection of the liver was performed again for recurrent tumor. The patient has survived without recurrence for more than 5 years. The long survival was due, we believe to the liver being non-cirrhotic, the delayed hepatic resection, and the early detection of the recurrent tumor.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ong GB, Taw JL (1972) Spontaneus rupture of hepatocellular carcinoma. BMJ 4:146–149
Chearanai O, Plengvanit U, Asavanich C, Damrongsak D, Sindhvananda K, Boonyapisit S (1983) Spontaneous rupture of primary hepatoma. Cancer 51:1532–1536
Lai ECS, Wu KM, Choi TK, Fan ST, Wong J (1989) Spontaneous ruptured hepatocellular carcinoma. Ann Surg 210:24–28
Ohtomo K, Furui S, Kokubo T, Yamauchi T, Yashiro N, Itai Y, Iio M (1988) Transcatheter arterial embolization for spontaneous rupture of hepatocellular carcinoma. Radiat Med 6: 150–156
The liver cancer study group of Japan (1990) Primary liver cancer in Japan. Ann Surg 211:277–287
Kew MC, Paterson AC (1985) Unusual clinical presentations of hepatocellular carcinoma. Trop Gastroenterol 6:10–22
Rubin BE, Katzen BT (1977) Selective hepatic artery embolization to control massive hepatic hemorrhage after trauma. Am J Roentgenol 129:253–256
Ono H, Okazaki M, Koganemaru H, Miyazaki R (1990) Emergency hepatic arterial embolization in the management of hemobilia (in Japanese with English abstract). Rinsho Hoshasen (Jpn J Clin Radiol) 35:325–330
Goldblatt M, Rad FF, Goldin AR, Shaff MI (1977) Percutaneous embolization for the management of hepatic arterial aneurysms. Gastroenterology 73:1142–1146
Chen MF, Jan YY, Lee TY (1986) Transcatheter hepatic arterial embolization followed by hepatic resection for the spontaneous rupture of hepatocellular carcinoma. Cancer 58:332–335
Ohta H, Nomoto M, Ozaki T, Kamimura T, Ichida F, Soga K, Yamada T, Honma A, Shimizu T (1987) A clinical study of reptured hepatocellular carcinoma. (in Japanese with English abstract). Nippon Syokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 84:690–697
Ohtani Y, Tanaka Y, Tsukui M, Goto K, Watanabe H, Kosei T, Moriya H, Sakamoto H, Makuuchi H, Tajima T, Mitomi T (1991) Acute abdominal associated with hepatocellular carcinoma (in Japanese). Fukubukyukyushinryo no Shinpo (Progr Abdom Emergency Med) 11:509–513
Takahama K, Horiguchi Y, Imai H, Takagawa H, Hamei A, Sekoguchi B, Tateishi H, Itoh E (1991) Emergent transcatheter arterial embolization for spontaneous rupture of hepatocellular carcinoma (in Japanese). Fukubukyukyushinryo no Shinpo (Progr Abdom Emergency Med) 11:272–275
Aruga A, Takasaki K, Watayo T, Tsugita T Katsura K, Miyazaki S, Suzuki T, Ohtsubo T, Nakagami T, Kobayashi S, Hanyu F (1991) A study of the rationale of treatment for spontaneous rupture of liver tumors (in Japanese). Fukubukyukyushinryo no Shinpo (Progr Abdom Emergency Med) 11:363–365
Miyamoto M, Sudo T, Kuyama T, Kakutani T (1989) Selection of treatment for spontaneous rupture of hepatocellar carcinoma: Clinical review of 172 cases in Japan (in Japanese). Syokakigeka (Gastroenterol Surg) 12:1633–1637
Nagasue N, Yukaya H, Ogawa Y, Sasaki Y, Chang Y-C, Niimi K (1986) Second hepatic resection for recurrent hepatocellular carcinoma. Br J Surg 73:434–438
Kanematsu T, Matsumata T, Takenaka K, Yoshida Y, Higashi H, Sugimachi K (1988) Clinical management of recurrent hepatocellular carcinoma after primary resection. Br J Surg 75:203–206
Shuto T, Kinoshita H, Hirohashi K, Kubo S, Iwasa R, Kubota D, Wakasa K, Yamamoto T, Sakurai M (1993) Clinicopathological analysis of patients who had plural hepatic resection for hepatocellular carcinoma (in Japanese with English abstract). Nihon Shokaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 26:809–814
Author information
Authors and Affiliations
Additional information
Offprint requests to: K. Tanaka
About this article
Cite this article
Tanaka, K., Yamashita, T., Yotsumoto, G. et al. Long-Term survivor of ruptured hepatocellular carcinoma after two hepatic resections. J Hep Bil Pancr Surg 1, 289–293 (1994). https://doi.org/10.1007/BF02391083
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02391083