Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries
Hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma is a life-threatening and rare condition in western countries with an incidence of less than 3% because of early detection of cirrhosis and neoplasm. Here, we describe a case of a 66-year-old male patient with altered mental statu...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/7082387 |
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| author | Thein Swe Akari Thein Naing Aama Baqui Ratesh Khillan |
| author_facet | Thein Swe Akari Thein Naing Aama Baqui Ratesh Khillan |
| author_sort | Thein Swe |
| collection | DOAJ |
| description | Hemoperitoneum due to spontaneous rupture of hepatocellular carcinoma is a life-threatening and rare condition in western countries with an incidence of less than 3% because of early detection of cirrhosis and neoplasm. Here, we describe a case of a 66-year-old male patient with altered mental status with hemorrhagic shock. Computed tomography scan of abdomen revealed hemoperitoneum and mass in liver. Patient underwent resection of liver tumor and biopsy revealed multinodular hepatocellular carcinoma. A high degree of suspicion is required where severe anemia and hemoperitoneum can be a first presentation for hepatocellular carcinoma especially in patients with chronic hepatitis C infection. Early diagnosis is crucial since mortality rates remain high for untreated cases. |
| format | Article |
| id | doaj-art-03f19427ee2e43ff8a030bd7cd3cd1cd |
| institution | Kabale University |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-03f19427ee2e43ff8a030bd7cd3cd1cd2025-08-20T03:55:32ZengWileyCase Reports in Hepatology2090-65872090-65952016-01-01201610.1155/2016/70823877082387Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western CountriesThein Swe0Akari Thein Naing1Aama Baqui2Ratesh Khillan3Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USADepartment of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USADepartment of Pathology, Interfaith Medical Center, Brooklyn, NY, USADivision of Oncology, Interfaith Medical Center, Brooklyn, NY, USAHemoperitoneum due to spontaneous rupture of hepatocellular carcinoma is a life-threatening and rare condition in western countries with an incidence of less than 3% because of early detection of cirrhosis and neoplasm. Here, we describe a case of a 66-year-old male patient with altered mental status with hemorrhagic shock. Computed tomography scan of abdomen revealed hemoperitoneum and mass in liver. Patient underwent resection of liver tumor and biopsy revealed multinodular hepatocellular carcinoma. A high degree of suspicion is required where severe anemia and hemoperitoneum can be a first presentation for hepatocellular carcinoma especially in patients with chronic hepatitis C infection. Early diagnosis is crucial since mortality rates remain high for untreated cases.http://dx.doi.org/10.1155/2016/7082387 |
| spellingShingle | Thein Swe Akari Thein Naing Aama Baqui Ratesh Khillan Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries Case Reports in Hepatology |
| title | Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries |
| title_full | Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries |
| title_fullStr | Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries |
| title_full_unstemmed | Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries |
| title_short | Severe Anemia with Hemoperitoneum as a First Presentation for Multinodular Hepatocellular Carcinoma: A Rare Event in Western Countries |
| title_sort | severe anemia with hemoperitoneum as a first presentation for multinodular hepatocellular carcinoma a rare event in western countries |
| url | http://dx.doi.org/10.1155/2016/7082387 |
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