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Inicio Cirugía Española (English Edition) Rupture of Hepatocarcinoma and Early Tumour Dissemination
Información de la revista
Vol. 94. Núm. 4.
Páginas 237 (abril 2016)
Vol. 94. Núm. 4.
Páginas 237 (abril 2016)
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Rupture of Hepatocarcinoma and Early Tumour Dissemination
Rotura de hepatocarcinoma y diseminación tumoral masiva precoz
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1930
Diego Tristán Enjuto Martíneza,
Autor para correspondencia
dtenjuto@gmail.com

Corresponding author.
, Patricia Díaz Peñaa, Javier Fernández Merinoa, Mar Pérez Dávilab
a Servicio de Cirugía General y Digestivo, Hospital Severo Ochoa, Leganés, Madrid, Spain
b Servicio de Radiología, Hospital Severo Ochoa, Leganés, Madrid, Spain
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The patient is a 42-year-old male from China with a history of HBV. Due to pain in the right hypochondrium and hepatomegaly, an urgent CT scan was done, which revealed a mass in the right hepatic lobe measuring 110×130×160mm with associated haemoperitoneum (Fig. 1). During surgery, a ruptured mass was observed, with no ascites, peritoneal implants or cirrhosis. Right hepatectomy was performed without complications. The biopsy study showed that the mass was a hepatocarcinoma, stage pT3bNx. Fourteen days later, the patient was readmitted due to general malaise, at which time another CT study showed extension to the left liver, peritoneal implants and a large tumour thrombus that had contrast uptake in the arterial phase in the inferior vena cava and right atrium (Fig. 2).

Fig. 1
(0.11MB).
Fig. 2
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Please cite this article as: Enjuto Martínez DT, Díaz Peña P, Fernández Merino J, Pérez Dávila M. Rotura de hepatocarcinoma y diseminación tumoral masiva precoz. Cir Esp. 2016;94:237.

Copyright © 2015. AEC
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