Spontaneous intratumoral hemorrhage into hepatocellular carcinoma during transcatheter arterial embolization: a case report

Spontaneous extrahepatic rupture of hepatocellular carcinoma (HCC) is a rare but serious complication that occurs with an incidence of between 5 and 15% of patients with HCC. It is thought to be preceded by rapid expansion due to intratumoral bleeding. Extrahepatic rupture of HCC has been reported a...

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Bibliographic Details
Published in:Journal of Korean medical science 2004-12, Vol.19 (6), p.895-897
Main Authors: Choi, Jae Ho, Kim, Jung Hoon, Won, Jong-Ho, Kim, Yun Soo, Goo, Dong Erk, Choi, Deuk Lin
Format: Article
Language:English
Subjects:
Carcinoma, Hepatocellular - blood supply
Case Report
Catheterization - adverse effects
Embolization, Therapeutic - adverse effects
Hemorrhage - diagnosis
Hemorrhage - etiology
Humans
Liver Neoplasms - blood supply
Male
Middle Aged
Rupture, Spontaneous - diagnosis
Rupture, Spontaneous - etiology
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Summary:Spontaneous extrahepatic rupture of hepatocellular carcinoma (HCC) is a rare but serious complication that occurs with an incidence of between 5 and 15% of patients with HCC. It is thought to be preceded by rapid expansion due to intratumoral bleeding. Extrahepatic rupture of HCC has been reported as a rare complication of transcatheter arterial embolization (TAE). Although there have been reports of extrahepatic rupture of HCC after TAE, but there is no report regarding intratumoral hemorrhage into HCC during TAE. We report a unique case of intratumoral hemorrhage into HCC during TAE presumably triggered by TAE. Although a rare complication, intratumoral hemorrhage into HCC after TAE should be considered in any patient with TAE due to HCC.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2004.19.6.895