Resumo

VITERI CEVALLOS, Diego Fernando et al. Emergent managment of ruptured hepatocellular carcinoma. Cir. gen [online]. 2021, vol.43, n.2, pp.141-145.  Epub 05-Dez-2022. ISSN 1405-0099.  https://doi.org/10.35366/106727.

In this manuscript, the case of an 84-year-old male patient is described, this person comes to the emergency room with an acute abdomen, a simple and contrasted tomography of the abdomen and pelvis is carried out, it was observed free fluid in the cavity and signs of liver cirrhosis. Thus, his admission to the hospital is suggested. Later, the patient shows signs of hypovolemic shock, for which an emergent surgical intervention is decided, a diagnostic laparoscopy and laparotomy were performed, hemoperitoneum of approximately 2,000 ml and an uneven liver tumor in segment II are described, for which it is decided to carry out a hepatic segmentectomy and drainage of the hemoperitoneum; the histopathological result reports hepatocellular carcinoma that invades the capsule, with free borders. This case is presented because its treatment was adequate in relation to previous studies, which show that the dissemination of cancer in the peritoneal cavity decreases with rapid drainage of the hemoperitoneum and the advantages described with resection of hepatocarcinoma in the first stage surgical.

Palavras-chave : Liver; hepatocellular carcinoma; tumor resection; transcatheter arterial embolization.