A Case of Traumatic Rupture of Hepatocellular Carcinoma Resected after Transcatheter Arterial Embolization

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 44; no. 9; pp. 1118 - 1125
• Main Authors: To, Kazuo, Nonaka, Takashi, Shibata, Yoshihito, Honjo, Seiji, Fukui, Kenichiro, Naito, Shinji, Yamaguchi, Hiroyuki, Oka, Tadayuki
• Format: Journal Article
• Language: Japanese; English
• Published: The Japanese Society of Gastroenterological Surgery 2011
• Subjects: hepatocellular carcinoma; TAE; traumatic rupture
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.44.1118

A 56-year-old man was admitted to our hospital due to contusion on the right lateral chest wall. Blood pressure was 84/47 mmHg on admission. Blood examination revealed no anemia but he was positive for the HCV-antibody regardless of having had no history of liver diseases. Abdominal CT revealed high density ascites and the multinodular main tumor of the liver S6, with a proximal diameter of 10 cm, grew extrahepatically, with small nodules in S5 and S8 of the liver in the background of liver cirrhosis pattern. A diagnosis of traumatic rupture of hepatocellular carcinoma was established, emergency angiography and TAE was performed. About 1 month later, we carried out subsegmentectomy of the liver S6 and radiofrequency ablation of hepatic S5 and S8. Since traumatic rupture of hepatocellular carcinoma is extremely rare, and the pathology of this disease is different from that of spontaneous rupture, liver reserve might be relatively well preserved. Consequently, curative operation might be possible after TAE in many cases of traumatic rupture of hepatocellular carcinoma.