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- W2341231178 abstract "Introduction: Hepatocellular carcinoma is the most common malignant primary liver tumor. The liver transplantation and resection with clear margins are the best treatment options. Spontaneous rupture is described as a very rare complication (0.8%) being most common in Africa. The aim of the study was to report a case of spontaneously ruptured hepatocellular carcinoma treated with hemostatic agents by laparotomy in the emergency room of reference. Methods: The information was obtained through review of medical records, interviews with family members of the patient, photographic register and review of the literature, was authorized by the Committee of Ethics and HUT research. Results: LNS, 42, male, was admitted to the emergency room with sudden abdominal pain and cold sweats 12 hours ago. On admission showed signs of hypovolemic shock, hemoglobin 5.5 g / dl and ultrasound and CT scan revealed a large amount of fluid in the abdominal cavity and hypervascular liver lesion measuring 4,1x3,8 cm in segment VIII. It underwent emergency exploratory laparotomy and observed liver injury VIII segment route and opted for the use of hemostatic agents (fibrin sealant human) successfully. The patient was discharged on the 8th PO uneventful. The patient presented positive serology for hepatitis B and histopathology showed hepatocellular carcinoma and the patient was referred for liver transplantation center. Conclusion: The diagnosis is very difficult in emergency treatment and sets a challenge to the surgeon. The evolution of hemostatic agents has enabled greater security in the control of bleeding during surgery." @default.
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- W2341231178 date "2016-04-01" @default.
- W2341231178 modified "2023-09-26" @default.
- W2341231178 title "Hepatocellular carcinoma rupture spontaneously conservative treatment in urgency with hemostatic agents – a case report" @default.
- W2341231178 doi "https://doi.org/10.1016/j.hpb.2016.02.559" @default.
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