A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma

Ruptured hepatocellular carcinoma (HCC) can lead to peritoneal dissemination. However, gastric wall seeding from HCC is exceedingly rare, and little is known about its clinical course. Herein, we report a case of an 88-year-old man who presented with a four-hour history of nausea, vomiting, and uppe...

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Published inCase Reports in Hepatology Vol. 2022; pp. 1 - 4
Main Authors Ishimaru, Naoki, Fujikawa, Hirohisa, Niwa, Kazuya, Kobayashi, Yoshifumi
Format Journal Article
LanguageEnglish
Published United States Hindawi 12.03.2022
Hindawi Limited
John Wiley & Sons, Inc
Wiley
Subjects
Abdomen
Autopsies
Case Report
Case reports
Chemotherapy
Diseases of the digestive system. Gastroenterology
Embolization
Endoscopy
Hemorrhagic shock
Hepatectomy
Hepatoma
Laparotomy
Liver cancer
Liver diseases
Metastasis
Oncology
RC799-869
Surgery
Tomography
Transplants & implants
Japan
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Summary:Ruptured hepatocellular carcinoma (HCC) can lead to peritoneal dissemination. However, gastric wall seeding from HCC is exceedingly rare, and little is known about its clinical course. Herein, we report a case of an 88-year-old man who presented with a four-hour history of nausea, vomiting, and upper abdominal pain. He has a history of ruptured HCC during surgery. The patient underwent an emergency laparotomy on account of haemorrhagic shock, which confirmed the diagnosis of ruptured HCC with gastric wall seeding. The findings from this study showed that the ruptured HCC can seed into the stomach wall, and the implanted lesions may rupture and lead to life-threatening haemorrhagic shock. Surgery is an effective treatment for bleeding from the implanted lesions.
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Academic Editor: Sorabh Kapoor
ISSN:2090-6587
2090-6595
DOI:10.1155/2022/6560834