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Acute abdomen caused by rupture of hepatocellular carcinoma in an adolescent: case report

João Augusto dos Santos Martines, Brenda Margatho Ramos Martines, Daniel Gonçalves Leal Araújo, Fabiana Roberto Lima


Hepatocelular carcinoma (HCC ) is not frequent in West Countries, but is one of the most prevalent tumors in Asia and the fifth most common cancer in the world. We present a case of a teenager girl diagnosed with an extremely aggressive HCC without the known
risk factors. The patient was admitted in Hospital Universitário da Universidade de São Paulo with the diagnosis of acute hemorrhagic abdomen secondary to hepatic rupture confirmed by exploratory laparotomy and liver biopsy, treated with surgical hemostasis of the ruptured hepatic parenchyma.


Hepatocellular carcinoma; Acute haemorrhagic abdomen; Haemorrhagia.

DOI: http://dx.doi.org/10.4322/acr.2016.007

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