Spontaneous rupture of hepatocellular carcinoma during pregnancy.

Abstract:

BACKGROUND:Hepatocellular carcinoma associated with pregnancy is unusual. CASE:A 33-year-old woman presented at 25 weeks' gestation with sudden, severe epigastric pain for 6 hours. Abdominal ultrasonography and magnetic resonance imaging showed multiple liver tumors with a small amount of ascites. Exploratory laparotomy revealed an unresectable ruptured liver tumor that was treated by packing. Although a biopsy was nondiagnostic, ultrasound-guided needle biopsy 6 days after cesarean delivery at 41 weeks' gestation showed hepatocellular carcinoma, which was treated with transarterial embolization. At 3.5 years posttherapy, both mother and infant are well. CONCLUSION:Ruptured hepatocellular carcinoma during pregnancy is rare but should be included in the differential diagnosis of sudden, severe epigastric pain.

journal_name

Obstet Gynecol

authors

Hsu KL,Ko SF,Cheng YF,Huang CC

doi

10.1016/s0029-7844(01)01357-6

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

913-6

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

S0029784401013576

journal_volume

98

pub_type

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