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Spontaneous rupture of hepatocellular carcinoma
Faisal M Al-Mashat1, Abdulrahman M Sibiany, Rashid H Kashgari
1Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine and Allied Sciences, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia. falmashat@yahoo.com
Abstract:
Hepatocellular carcinoma is the most common malignancy among males and the 7th among female patients in the Kingdom of Saudi Arabia. This is due to the endemicity of hepatitis B and hepatitis C. Spontaneous rupture of hepatocellular carcinoma is rare. We report 4 cases of spontaneous rupture of hepatocellular carcinoma. Initial control of bleeding was achieved surgically in 3 patients and by embolization in the 4th patient. All patients had very good hepatic reserve as reflected by Child-Pugh scoring (A & B). We found that the incidence of ruptured hepatocellular carcinoma among 85 patients was 4.7%. The prognosis of this subgroup of patients is poor as reflected by the low median survival ranging from 6-16 weeks.