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Hemoperitoneum as a first manifestation of HCC with bleeding from ruptured aberrant vessel: a case report

Rajeev Kumar Singh1, Sunil Kumar, Shandip Kumar Sinha

  • 1Department of Surgery (Unit - III), University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi.

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|August 17, 2006
PubMed

A young man presented with a history of abdominal pain and distension for 4 days. Diagnosis of spontaneous hemoperitoneum was made after clinical examination, abdominal USG and a diagnostic peritoneal tap. Emergency laparotomy revealed massive hemoperitoneum with extensive bilobar hepato-cellular carcinoma (HCC). A ruptured aberrant vessel communicating between the intercostal vessel and HCC in the liver had caused massive hemoperitoneum.

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