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[PMID]:29390363
[Au] Autor:Zhang D; Chen A; Gu Y
[Ad] Endereço:Department of Obstetrics & Gynecology, Peking Union Medical College Hospital (PUMCH), Beijing, People's Republic of China.
[Ti] Título:Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for tubal pregnancy: A case report.
[So] Source:Medicine (Baltimore);96(50):e9254, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Most secondary abdominal pregnancies happen after spontaneous abortion of tubal pregnancy or ruptured intrauterine pregnancy. However, we presented a case of ruptured secondary abdominal pregnancy after primary laparoscopic treatment of tubal pregnancy. CASE REPORT: The ectopic pregnant lesion in the affected tube was thoroughly removed in the primary laparoscopy, and nothing abnormal was detected in abdomen or pelvis. Beta human chorionic gonadotropin levels dropped significantly after surgery, but the patient came back again for severe abdominal pain with beta human chorionic gonadotropin increasing, and free peritoneal fluid in the pouch of Douglas was detected at ultrasonography. The secondary laparoscopy was done according to the intraperitoneal hemorrhage and unstable vital signs. The secondary pregnancy was found ruptured in the splenic flexure of the colon. Although several cases of secondary abdominal pregnancies were reported in the literature, herein we describe a case secondary to the salpingotomy of the primary tubal pregnancy. CONCLUSION: After surgery for ectopic pregnancy, the patient's serum beta human chorionic gonadotropin levels should be closely followed until negative. When persistent ectopic pregnancy was suspected after surgery, physicians should keep in mind a rare possibility of secondary abdominal pregnancy.
[Mh] Termos MeSH primário: Laparoscopia
Gravidez Abdominal/diagnóstico por imagem
Gravidez Abdominal/cirurgia
Gravidez Tubária/diagnóstico por imagem
Gravidez Tubária/cirurgia
[Mh] Termos MeSH secundário: Adulto
Gonadotropina Coriônica Humana Subunidade beta/sangue
Feminino
Hemoperitônio/diagnóstico por imagem
Hemoperitônio/cirurgia
Seres Humanos
Gravidez
Ruptura
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Chorionic Gonadotropin, beta Subunit, Human)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009254


  2 / 2815 MEDLINE  
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[PMID]:28985866
[Au] Autor:Davidson AJ; Russo RM; Ferencz SE; Grayson JK; Williams TK; Galante JM; Neff LP
[Ad] Endereço:Division of Trauma, Acute Care Surgery, and Surgical Critical Care, UC Davis Medical Center, Sacramento, California; Department of General Surgery, David Grant USAF Medical Center, California. Electronic address: ajdavidson@ucdavis.edu.
[Ti] Título:A novel model of highly lethal uncontrolled torso hemorrhage in swine.
[So] Source:J Surg Res;218:306-315, 2017 Oct.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A reproducible, lethal noncompressible torso hemorrhage model is important to civilian and military trauma research. Current large animal models balancing clinical applicability with standardization and internal validity. As such, large animal models of trauma vary widely in the surgical literature, limiting comparisons. Our aim was to create and validate a porcine model of uncontrolled hemorrhage that maximizes reproducibility and standardization. METHODS: Seven Yorkshire-cross swine were anesthetized, instrumented, and splenectomized. A simple liver tourniquet was applied before injury to prevent unregulated hemorrhage while creating a traumatic amputation of 30% of the liver. Release of the tourniquet and rapid abdominal closure following injury provided a standardized reference point for the onset and duration of uncontrolled hemorrhage. At the moment of death, the liver tourniquet was quickly reapplied to provide accurate quantification of intra-abdominal blood loss. Weight and volume of the resected and residual liver segments were measured. Hemodynamic parameters were recorded continuously throughout each experiment. RESULTS: This liver injury was rapidly and universally lethal (11.2 ± 4.9 min). The volume of hemorrhage (35.8% ± 6% of total blood volume) and severity of uncontrolled hemorrhage (100% of animals deteriorated to a sustained mean arterial pressure <35 mmHg for 5 min) were consistent across all animals. Use of the tourniquet effectively halted preprocedure and postprocedure blood loss allowing for accurate quantification of amount of hemorrhage over a defined period. In addition, the tourniquet facilitated the creation of a consistent liver resection weight (0.0043 ± 0.0003 liver resection weight: body weight) and as a percentage of total liver resection weight (27% ± 2.2%). CONCLUSIONS: This novel tourniquet-assisted noncompressible torso hemorrhage model creates a standardized, reproducible, highly lethal, and clinically applicable injury in swine. Use of the tourniquet allowed for consistent liver injury and precise control over hemorrhage. Recorded blood loss was similar across all animals. Improving reproducibility and standardization has the potential to offer improvements in large animal translational models of hemorrhage. LEVEL OF EVIDENCE: Level I.
[Mh] Termos MeSH primário: Modelos Animais de Doenças
Hemoperitônio/etiologia
Fígado/lesões
[Mh] Termos MeSH secundário: Animais
Feminino
Hemoperitônio/mortalidade
Masculino
Suínos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


  3 / 2815 MEDLINE  
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[PMID]:28819484
[Au] Autor:Abbadi SE; Rhouni FZ; Jroundi L
[Ad] Endereço:Service de Radiologie des Urgences, CHU-Ibn Sina, Université Med V, Rabat, Maroc.
[Ti] Título:[Spontaneous splenic rupture: about a case and review of the literature].
[Ti] Título:Rupture spontané de la rate: à propos d'un cas et revue de la littérature..
[So] Source:Pan Afr Med J;27:62, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:This study reports a case of spontaneous subcapsular splenic ruptured hematoma (with hemoperitoneum) and provides update on this rare disease. Non-traumatic ruptures can be fatal. Diagnosis is sometimes difficult. They often reveal an underlying pathology including infections, tumors or hematologic disorders. Symptomatology commonly has an abrupt onset but progressive forms are also possible. The majority of patients undergo splenectomy.
[Mh] Termos MeSH primário: Hematoma/diagnóstico
Hemoperitônio/etiologia
Ruptura Esplênica/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Hematoma/patologia
Hematoma/cirurgia
Seres Humanos
Masculino
Ruptura Espontânea
Esplenectomia/métodos
Ruptura Esplênica/patologia
Ruptura Esplênica/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.62.12451


  4 / 2815 MEDLINE  
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[PMID]:28670155
[Au] Autor:Lee MS; Moon MH; Woo H; Sung CK; Jeon HW; Lee TS
[Ad] Endereço:Department of Radiology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Korea.
[Ti] Título:Ruptured Corpus Luteal Cyst: Prediction of Clinical Outcomes with CT.
[So] Source:Korean J Radiol;18(4):607-614, 2017 Jul-Aug.
[Is] ISSN:2005-8330
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the determinant pretreatment CT findings that can predict surgical intervention for patients suffering from corpus luteal cyst rupture with hemoperitoneum. MATERIALS AND METHODS: From January 2009 to December 2014, a total of 106 female patients (mean age, 26.1 years; range, 17-44 years) who visited the emergency room of our institute for acute abdominal pain and were subsequently diagnosed with ruptured corpus luteal cyst with hemoperitoneum were included in the retrospective study. The analysis of CT findings included cyst size, cyst shape, sentinel clot sign, ring of fire sign, hemoperitoneum depth, active bleeding in portal phase and attenuation of hemoperitoneum. The comparison of CT findings between the surgery and conservative management groups was performed with the Mann-Whitney U test or chi-square test. Logistic regression analysis was used to determine significant CT findings in predicting surgical intervention for a ruptured cyst. RESULTS: Comparative analysis revealed that the presence of active bleeding and the hemoperitoneum depth were significantly different between the surgery and conservative management groups and were confirmed as significant CT findings for predicting surgery, with adjusted odds ratio (ORs) of 3.773 and 1.318, respectively ( < 0.01). On the receiver-operating characteristic curve analysis for hemoperitoneum depth, the optimal cut-off value was 5.8 cm with 73.7% sensitivity and 58.6% specificity (Az = 0.711, = 0.004). In cases with a hemoperitoneum depth > 5.8 cm and concurrent active bleeding, the OR for surgery increased to 5.786. CONCLUSION: The presence of active bleeding and the hemoperitoneum depth on a pretreatment CT scan can be predictive warning signs of surgery for a patient with a ruptured corpus luteal cyst with hemoperitoneum.
[Mh] Termos MeSH primário: Hemoperitônio/patologia
Cistos Ovarianos/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Adulto
Área Sob a Curva
Feminino
Hemoperitônio/complicações
Hemorragia/etiologia
Seres Humanos
Razão de Chances
Cistos Ovarianos/complicações
Cistos Ovarianos/cirurgia
Curva ROC
Estudos Retrospectivos
Ruptura Espontânea
Estatísticas não Paramétricas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE
[do] DOI:10.3348/kjr.2017.18.4.607


  5 / 2815 MEDLINE  
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[PMID]:28584568
[Au] Autor:Mizrahi DJ; Kaushik C; Adamo R
[Ad] Endereço:Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, USA.
[Ti] Título:Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma.
[So] Source:J Radiol Case Rep;11(3):15-21, 2017 Mar.
[Is] ISSN:1943-0922
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition.
[Mh] Termos MeSH primário: Hemoperitônio/diagnóstico por imagem
Hemoperitônio/etiologia
Hipovolemia/diagnóstico por imagem
Hipovolemia/etiologia
Leiomioma/complicações
Leiomioma/diagnóstico por imagem
Neoplasias Uterinas/complicações
Neoplasias Uterinas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Feminino
Hemoperitônio/cirurgia
Seres Humanos
Hipovolemia/cirurgia
Leiomioma/cirurgia
Ligadura
Ruptura Espontânea
Tomografia Computadorizada por Raios X
Neoplasias Uterinas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170607
[St] Status:MEDLINE
[do] DOI:10.3941/jrcr.v11i3.3054


  6 / 2815 MEDLINE  
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[PMID]:28580064
[Au] Autor:Hardin N; Delozier A; Torabi A; Laks S
[Ad] Endereço:Department of Radiology, Texas Tech University, University Medical Center, El Paso, Texas, USA.
[Ti] Título:Spontaneous Rupture of the Uterine Artery in an Otherwise Normal Pregnancy.
[So] Source:J Radiol Case Rep;11(1):7-13, 2017 Jan.
[Is] ISSN:1943-0922
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Spontaneous rupture of a uterine artery in pregnancy is associated with a high rate of mortality. Although uterine artery rupture has been associated with postpartum hemorrhage, it is rarely found during pregnancy. Unfortunately, clinical signs and symptoms are usually vague and nonspecific. We report a case of a 36-year-old woman at 20 weeks gestation presenting with abdominal pain who was found to have a spontaneous uterine artery rupture. To our knowledge, this is the first case report demonstrating imaging findings in a patient with this condition. Our patient underwent successful ligation of the uterine vessel with preservation of both mother and fetus. We will discuss possible etiologies of uterine artery rupture during pregnancy, associated imaging findings, and management options.
[Mh] Termos MeSH primário: Hemoperitônio/diagnóstico por imagem
Hemoperitônio/cirurgia
Complicações Cardiovasculares na Gravidez/diagnóstico por imagem
Complicações Cardiovasculares na Gravidez/cirurgia
Artéria Uterina
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Ligadura
Gravidez
Resultado da Gravidez
Ruptura Espontânea
Tomografia Computadorizada por Raios X
Ultrassonografia Pré-Natal
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE
[do] DOI:10.3941/jrcr.v11i1.2946


  7 / 2815 MEDLINE  
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[PMID]:28424126
[Au] Autor:Rosenthal MD; Raza A; Markle S; Croft CA; Mohr AM; Smith RS
[Ti] Título:The Novel Use of Resuscitative Endovascular Balloon Occlusion of the Aorta to Explore a Retroperitoneal Hematoma in a Hemodynamically Unstable Patient.
[So] Source:Am Surg;83(4):337-340, 2017 Apr 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Balloon occlusion of the aorta was first described by C.W. Hughes in 1954, when it was used as a tamponade device for three wounded soldiers during the Korean War suffering from intra-abdominal hemorrhage. Currently, the device is indicated in trauma patients as a surrogate for resuscitative thoracotomy. Brenner et al. reported a case series describing the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in advanced hemorrhagic shock. Their conclusion was that "it is a feasible method for proximal aortic control." We describe the novel use of REBOA before retroperitoneal hematoma exploration in a hemodynamically unstable patient. Reported is a 19-year-old blunt trauma victim where REBOA was successfully deployed as a means for proximal arterial control before a Zone 1 retroperitoneal hematoma exploration. The source of the patient's hemorrhagic shock was multifactorial: grade V hepatic injury, retrohepatic inferior vena cava laceration, and right renal vein avulsion with Zone 1 retroperitoneal hematoma. Immediate return of perfusion pressure, as systolic pressures increased from 50 to 150 mm Hg. Hemodynamic improvements were accompanied by decreased transfusion and vasopressor requirements. In addition, the surgeons were able to enter the retroperitoneal hematoma under controlled conditions. REBOA is an attractive new tool to gain proximal aortic control in select patients with hemorrhagic shock. It is less morbid, possibly more efficient, and appears to be more effective than resuscitative thoracotomy. REBOA is certainly feasible for proximal aortic control before retroperitoneal exploration, and should be considered in select patients.
[Mh] Termos MeSH primário: Aorta Abdominal/lesões
Oclusão com Balão/métodos
Hematoma/terapia
Hemoperitônio/terapia
Ressuscitação/métodos
Choque Hemorrágico/terapia
[Mh] Termos MeSH secundário: Acidentes de Trânsito
Evolução Fatal
Hemodinâmica
Seres Humanos
Fígado/lesões
Masculino
Veia Cava Inferior/lesões
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170501
[Lr] Data última revisão:
170501
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE


  8 / 2815 MEDLINE  
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[PMID]:28321073
[Au] Autor:Mochimaru T; Minematsu N; Ohsawa K; Tomomatsu K; Miura H; Betsuyaku T; Murakami M
[Ad] Endereço:Department of Internal Medicine, Hino Municipal Hospital, Japan.
[Ti] Título:Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review.
[So] Source:Intern Med;56(6):695-699, 2017.
[Is] ISSN:1349-7235
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:A 65-year-old man was diagnosed with small cell lung cancer with multiple liver metastases. Three days after initiating chemotherapy, he experienced abdominal discomfort with hypotension. Computed tomography revealed a ruptured liver metastasis and the presence of hemorrhagic ascites. Transcatheter arterial embolization to the appropriate hepatic artery in concomitant with supportive therapies successfully stabilized his condition. Unlike with hepatocellular carcinoma, the rupture of a liver metastasis and associated hemoperitoneum is very rare in patients with lung cancer. We comprehensively reviewed the literature and found 10 similar cases with this serious condition. Physicians should therefore be aware of the risk of hemoperitoneum caused by ruptured liver metastases in patients with lung cancer.
[Mh] Termos MeSH primário: Hemoperitônio/etiologia
Neoplasias Hepáticas/complicações
Neoplasias Hepáticas/secundário
Neoplasias Pulmonares/patologia
Ruptura Espontânea/etiologia
Carcinoma de Pequenas Células do Pulmão/patologia
[Mh] Termos MeSH secundário: Idoso
Embolização Terapêutica/métodos
Hemoperitônio/terapia
Artéria Hepática/patologia
Seres Humanos
Neoplasias Hepáticas/terapia
Neoplasias Pulmonares/tratamento farmacológico
Masculino
Ruptura Espontânea/terapia
Carcinoma de Pequenas Células do Pulmão/tratamento farmacológico
Tomografia Computadorizada por Raios X/efeitos adversos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170516
[Lr] Data última revisão:
170516
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.2169/internalmedicine.56.6828


  9 / 2815 MEDLINE  
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[PMID]:28266296
[Au] Autor:Chirculescu B; Chirculescu R; Ionescu M; Peltecu G; Panaitescu A; -
[Ti] Título:Complete Tubal Abortion: A Rare Form of Ectopic Pregnancy.
[So] Source:Chirurgia (Bucur);112(1):68-71, 2017 Jan-Feb.
[Is] ISSN:1221-9118
[Cp] País de publicação:Romania
[La] Idioma:eng
[Ab] Resumo:Tubal abortion is characterized by the extrusion of an ectopic product of conception implanted in the fallopian tube through the abdominal ostium into the peritoneal cavity. It can be either complete or incomplete and may lead to severe bleeding. Recognition of a complete tubal abortion may be challenging but is essential because it allows conservative management which make possible preservation of tubal function and fertility without the need for further cytostatic therapy. A case of a 30 years-old woman admitted for lower abdominal pain is reported.The level of hCG was 659.2 mU/mL and transvaginal ultrasound reveled a fluid collection in the pouch of Douglas. Laparoscopy was subsequently performed for the suspicion of ectopic pregnancy with hemoperitoneum. Corroborating the hCG dynamics with the laparoscopic findings, the diagnosis of complete tubal abortion was established. The histopathological examination confirmed the presence of intermediate trophoblastic cells in the tissue collected during laparoscopy. Ultrasound examination helps recognition of hemoperitoneum but adds little value to the diagnosis of tubal abortion. Laparoscopic findings alone are only suggestive for complete tubal abortion but in combination with hCG dynamics, the diagnosis can be established. Conservative management might be sufficient in complete tubal abortion and ensures preservation of tubal function and fertility.
[Mh] Termos MeSH primário: Aborto Espontâneo/diagnóstico
Aborto Espontâneo/terapia
Hemoperitônio/terapia
Gravidez Tubária/diagnóstico
Gravidez Tubária/terapia
[Mh] Termos MeSH secundário: Adulto
Gonadotropina Coriônica/sangue
Gonadotropina Coriônica/urina
Feminino
Hemoperitônio/etiologia
Seres Humanos
Laparoscopia
Gravidez
Gravidez Ectópica/terapia
Gravidez Tubária/sangue
Gravidez Tubária/urina
Resultado do Tratamento
Ultrassonografia Pré-Natal/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Chorionic Gonadotropin)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE


  10 / 2815 MEDLINE  
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[PMID]:28245861
[Au] Autor:Bertacco A; D'Amico F; Romano M; Finotti M; Vitale A; Cillo U
[Ad] Endereço:Department of Surgery, Oncology and Gastroenterology (DISCOG), Hepatobiliary Surgery and Liver Transplantation, Padua University, Padua, Italy.
[Ti] Título:Liver radiofrequency ablation as emergency treatment for a ruptured hepatocellular carcinoma: a case report.
[So] Source:J Med Case Rep;11(1):54, 2017 Mar 01.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hemoperitoneum is a possible complication of hepatocellular carcinoma that may require emergency surgery as an alternative to radiological locoregional therapies. CASE PRESENTATION: We present a case report of a 78-year-old white man with alcoholic-related cirrhosis and a multifocal hepatocellular carcinoma. An abdominal computed tomography scan showed multiple and bilateral foci of bleeding from broken liver cancer. He was urgently transferred from our radiology unit to our operating room for massive hemoperitoneum. A middle line laparotomy detected a massive hemoperitoneum. His liver was cirrhotic and completely subverted by a tumor; there were two spontaneous bleeding lacerations on segments II and IV, which were uncontrollable with conventional hemostatic techniques. Therefore, it was decided to carry out the coagulation of the multiple vascular afferents of each single mass by means of radiofrequency ablation cycles performed circumferentially on both nodules for a total of 40 minutes. Hemostasis was achieved; the radiofrequency ablation controlled the bleeding from his ruptured hepatocellular carcinoma. He was transferred to our intensive care unit for postoperative monitoring in terms of hemodynamic stability. On postoperative day 2 he was discharged from our intensive care unit. CONCLUSIONS: Multifocal bleeding hepatocellular carcinoma still has an extremely high mortality. The angiographic control of multiple bilateral bleeding lesions can be extremely difficult and can be contraindicated by the location of the lesions and by the overall clinical condition of the patient. In this case, treatment with radiofrequency ablation has proven to be effective in the control of multiple and bilateral hepatic lesions. This particular technique allowed us to attack the lesion at the level of the vascular pedicle in order to control the bleeding.
[Mh] Termos MeSH primário: Carcinoma Hepatocelular/complicações
Ablação por Cateter/métodos
Hemoperitônio/cirurgia
Neoplasias Hepáticas/complicações
[Mh] Termos MeSH secundário: Idoso
Carcinoma Hepatocelular/patologia
Tratamento de Emergência
Hemoperitônio/diagnóstico por imagem
Hemoperitônio/etiologia
Hemostasia
Seres Humanos
Laparotomia
Fígado/diagnóstico por imagem
Fígado/patologia
Cirrose Hepática/complicações
Neoplasias Hepáticas/patologia
Masculino
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1199-1



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