Boujaoude J, Abboud B, Slaba S, Honein K, Slim R, Khouri K
Service d'hépato-gastro-entérologie, CHU Hôtel-Dieu de France, Faculté de Médecine, Université Saint-Joseph, Beyrouth, Liban.
J Med Liban. 2000 Mar-Apr;48(2):104-7.
Rupture of hepatocellular carcinoma is a severe complication that occurs in about 10% of patients. It may occur as a terminal event in patients with advanced disease or it may be the first presentation in a healthy individual. Various treatment options have been proposed, which include conservative treatment, transarterial embolization and operative hemostasis or liver resection. We report intraperitoneal hemorrhage and hypovolemia in two patients with spontaneous rupture of an hepatocellular carcinoma treated successfully by transarterial hepatic embolization. On follow-up, these patients died 7 and 8 months after this treatment respectively.
肝细胞癌破裂是一种严重并发症，约10%的患者会出现。它可能发生在晚期疾病患者的终末期，也可能是健康个体的首发症状。已经提出了多种治疗选择，包括保守治疗、经动脉栓塞以及手术止血或肝切除。我们报告了两例肝细胞癌自发破裂患者经肝动脉栓塞成功治疗后出现腹腔内出血和低血容量的情况。随访发现，这些患者分别在治疗后7个月和8个月死亡。
