HPB Surgery, Imperial College Healthcare NHS Trust and Imperial College London, London, UK.
HPB Surgery, Imperial College Healthcare NHS Trust and Imperial College London, London, UK
BMJ Case Rep. 2022 Jun 9;15(6):e247951. doi: 10.1136/bcr-2021-247951.
Hepatocellular carcinoma (HCC) is a well-known malignant neoplasm of the liver associated with spontaneous haemorrhage in 3%-15% of cases. This complication is life threatening and has a mortality rate of 33%-100%. Despite the frequency and severity of spontaneous haemorrhage, the importance of patient education about this complication has not been highlighted before. There is currently no information available on the NHS UK website, and no publications have addressed the effect of patient education. We present this case report describing a patient who developed classical symptoms of haemorrhage the day before her elective HCC resection, but was unaware of its importance, and thus did not seek medical attention. She was subsequently found to have a large volume haemoperitoneum, anaemia and a ruptured HCC intraoperatively. This case illustrates the significant importance of counselled regarding the symptoms and risk of spontaneous rupture of HCC to prompt early presentation to medical services.
肝细胞癌 (HCC) 是一种众所周知的肝脏恶性肿瘤，约有 3%-15%的病例会自发出血。这种并发症具有生命威胁性，死亡率为 33%-100%。尽管自发性出血的频率和严重程度很高，但之前并未强调过对患者进行这一并发症相关教育的重要性。目前英国国民保健制度 (NHS) 网站上没有相关信息，也没有出版物涉及患者教育的效果。我们报告了这例病例，该患者在择期 HCC 切除手术前一天出现典型的出血症状，但对其重要性并不了解，因此没有寻求医疗帮助。随后，她被发现术中存在大量血腹、贫血和 HCC 破裂。该病例说明了对 HCC 自发性破裂的症状和风险进行咨询的重要性，这有助于促使患者尽早向医疗服务机构就诊。
