A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma

Ruptured hepatocellular carcinoma (HCC) can lead to peritoneal dissemination. However, gastric wall seeding from HCC is exceedingly rare, and little is known about its clinical course. Herein, we report a case of an 88-year-old man who presented with a four-hour history of nausea, vomiting, and uppe...

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Autores principales: Ishimaru, Naoki, Fujikawa, Hirohisa, Niwa, Kazuya, Kobayashi, Yoshifumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8934241/
https://www.ncbi.nlm.nih.gov/pubmed/35313555
http://dx.doi.org/10.1155/2022/6560834
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author Ishimaru, Naoki
Fujikawa, Hirohisa
Niwa, Kazuya
Kobayashi, Yoshifumi
author_facet Ishimaru, Naoki
Fujikawa, Hirohisa
Niwa, Kazuya
Kobayashi, Yoshifumi
author_sort Ishimaru, Naoki
collection PubMed
description Ruptured hepatocellular carcinoma (HCC) can lead to peritoneal dissemination. However, gastric wall seeding from HCC is exceedingly rare, and little is known about its clinical course. Herein, we report a case of an 88-year-old man who presented with a four-hour history of nausea, vomiting, and upper abdominal pain. He has a history of ruptured HCC during surgery. The patient underwent an emergency laparotomy on account of haemorrhagic shock, which confirmed the diagnosis of ruptured HCC with gastric wall seeding. The findings from this study showed that the ruptured HCC can seed into the stomach wall, and the implanted lesions may rupture and lead to life-threatening haemorrhagic shock. Surgery is an effective treatment for bleeding from the implanted lesions.
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spelling pubmed-89342412022-03-20 A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma Ishimaru, Naoki Fujikawa, Hirohisa Niwa, Kazuya Kobayashi, Yoshifumi Case Reports Hepatol Case Report Ruptured hepatocellular carcinoma (HCC) can lead to peritoneal dissemination. However, gastric wall seeding from HCC is exceedingly rare, and little is known about its clinical course. Herein, we report a case of an 88-year-old man who presented with a four-hour history of nausea, vomiting, and upper abdominal pain. He has a history of ruptured HCC during surgery. The patient underwent an emergency laparotomy on account of haemorrhagic shock, which confirmed the diagnosis of ruptured HCC with gastric wall seeding. The findings from this study showed that the ruptured HCC can seed into the stomach wall, and the implanted lesions may rupture and lead to life-threatening haemorrhagic shock. Surgery is an effective treatment for bleeding from the implanted lesions. Hindawi 2022-03-12 /pmc/articles/PMC8934241/ /pubmed/35313555 http://dx.doi.org/10.1155/2022/6560834 Text en Copyright © 2022 Naoki Ishimaru et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ishimaru, Naoki
Fujikawa, Hirohisa
Niwa, Kazuya
Kobayashi, Yoshifumi
A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma
title A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma
title_full A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma
title_fullStr A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma
title_full_unstemmed A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma
title_short A Rare Cause of Haemorrhagic Shock: Rupture of Gastric Wall Seeding of Hepatocellular Carcinoma
title_sort rare cause of haemorrhagic shock: rupture of gastric wall seeding of hepatocellular carcinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8934241/
https://www.ncbi.nlm.nih.gov/pubmed/35313555
http://dx.doi.org/10.1155/2022/6560834
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