Singh Rajeev Kumar, Kumar Sunil, Sinha Shandip Kumar, Mishra Tushar, Pachisia Shyam Sunder
Department of Surgery (Unit - III), University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi.
Trop Gastroenterol. 2006 Jan-Mar;27(1):48-9.
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.
一名年轻男性因腹痛和腹胀4天前来就诊。经临床检查、腹部超声检查和诊断性腹腔穿刺后,诊断为自发性血腹。急诊剖腹手术发现大量血腹,并伴有广泛的双叶肝细胞癌(HCC)。肝脏中一根异常血管破裂,该血管在肋间血管和HCC之间相通,导致了大量血腹。