A Case of Traumatic Rupture of Hepatocellular Carcinoma

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  • 外傷性肝細胞癌破裂の1例

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An 87-year-old man was admitted to our hospital with consciousness disturbance after a fall at home. Abdominal enhanced computed tomography demonstrated rupture of HCC in segment 6/7. Based on the presence of a right rib fracture, a diagnosis of traumatic rupture of hepatocellular carcinoma was established from the medical history. Although we tried to perform emergency angiography and transcatheter arterial embolization, we failed because of stenosis of the celiac artery secondary to arteriosclerosis. Therefore, we performed damage-control surgery by gauze packing, performed a 2nd operation on day 4 after the first operation, and confirmed hemostasis from the hepatocellular carcinoma. Traumatic hepatocellular carcinoma is extremely rare, therefore, we report this case with a review of the literature.

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