Spontaneous hepatic rupture: 13-year experience of a single center

被引:22
作者
Maoz, Daniel
Sharon, Eran
Chen, Yakov
Grief, Franklin
机构
[1] Rabin Med Ctr, Dept Surg A, IL-49100 Petah Tiqwa, Israel
[2] Sackler Tel Aviv Univ, Tel Aviv, Israel
关键词
bleeding; hepatocellular adenoma; hepatocellular carcinoma; liver; rupture; FOCAL NODULAR HYPERPLASIA; ELEVATED LIVER-ENZYMES; HEPATOCELLULAR-CARCINOMA; HELLP-SYNDROME; LOW PLATELETS; HEMORRHAGE; HEMOPERITONEUM; PREECLAMPSIA; MANAGEMENT; PREGNANCY;
D O I
10.1097/MEG.0b013e3283293d27
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background Spontaneous hepatic rupture is a rare clinical event associated with various pathologies of the liver. Most series to date reported the incidence and characteristics of a single etiology. Methods Data were collected for all patients admitted with spontaneous hepatic rupture from 1995 to 2007. Results Ten patients met the study criteria. Hepatocellular adenoma was the cause of the rupture in six female patients, in their second to fourth decade. In the remaining patients, the ruptures were because of hepatocellular carcinoma in two, metastatic gastrointestinal stromal tumor in one, and HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) in one. Nine out of 10 patients were treated surgically. Conclusion Spontaneous hepatic rupture requires a high index of suspicion for a correct and timely diagnosis. Outcome is potentially grave and greatly depends on the underlying condition. Eur J Gastroenterol Hepatol 22: 997-1000 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
引用
收藏
页码:997 / 1000
页数:4
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