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既往破裂的长期存活肝细胞癌患者发生小肠转移导致急性血腹。

Acute haemoperitoneum due to small bowel metastases from hepatocellular carcinoma in a long term survivor following previous rupture.

作者信息

Shelat Vishal G, Giron Danilo Medina, Oo Aung Myint

机构信息

Department of General Surgery, Tan Tock Seng Hospital, Singapore.

Department of Pathology, Tan Tock Seng Hospital, Singapore.

出版信息

Ann Hepatobiliary Pancreat Surg. 2018 Nov;22(4):416-418. doi: 10.14701/ahbps.2018.22.4.416. Epub 2018 Nov 27.

DOI:10.14701/ahbps.2018.22.4.416
PMID:30588535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6295373/
Abstract

We report a 75-year old patient, presenting with acute abdomen and hemorrhagic shock. He provided history of right hemihepatectomy performed 5 years ago, for ruptured hepatocellular carcinoma on a background of Hepatitis B virus associated liver cirrhosis. A computerized tomography scan showed 5 cm-sized mass exophytic lesion, in the small bowel with haemoperitoneum. An emergency laparotomy and small bowel resection, with primary anastomosis was performed. Histology showed Hep Par 1 stain reactive cells, on the serosal surface of the small bowel. A final diagnosis of metastatic hepatocellular carcinoma was made.

摘要

我们报告一名75岁患者，表现为急腹症和失血性休克。他有5年前因乙型肝炎病毒相关性肝硬化背景下的肝细胞癌破裂而行右半肝切除术的病史。计算机断层扫描显示小肠有一个5厘米大小的外生性肿物，伴有腹腔积血。进行了急诊剖腹手术和小肠切除术，并做了一期吻合。组织学检查显示小肠浆膜表面有Hep Par 1染色反应性细胞。最终诊断为转移性肝细胞癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/e577143782a1/ahbps-22-416-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/ad33bcd7ff08/ahbps-22-416-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/14080a6adb27/ahbps-22-416-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/e577143782a1/ahbps-22-416-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/ad33bcd7ff08/ahbps-22-416-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/14080a6adb27/ahbps-22-416-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84d8/6295373/e577143782a1/ahbps-22-416-g003.jpg

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Hepatocellular Carcinoma with Gastrointestinal Involvement: A Systematic Review.伴有胃肠道受累的肝细胞癌：一项系统综述
Diagnostics (Basel). 2022 May 19;12(5):1270. doi: 10.3390/diagnostics12051270.

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Quality of Life in Hepatocellular Carcinoma Patients Treated with Transarterial Chemoembolization.经动脉化疗栓塞治疗的肝细胞癌患者的生活质量
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