Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma

A 68-year-old man was transferred to our hospital because of sudden right costal pain with unmeasurable hypotension. Ultrasonography revealed possible hemorrhagic shock due to ruptured hepatocellular carcinoma (HCC). As the patient was not hemodynamically stable after primary treatment, resuscitativ...

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Detalles Bibliográficos
Autores principales: Okada, Haruka, Koike, Yuji, Kishimoto, Shotaro, Mori, Kosuke, Imaki, Shohei, Torii, Ikuo, Komatsu, Hirokazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107971/
https://www.ncbi.nlm.nih.gov/pubmed/34565775
http://dx.doi.org/10.2169/internalmedicine.8133-21
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author Okada, Haruka
Koike, Yuji
Kishimoto, Shotaro
Mori, Kosuke
Imaki, Shohei
Torii, Ikuo
Komatsu, Hirokazu
author_facet Okada, Haruka
Koike, Yuji
Kishimoto, Shotaro
Mori, Kosuke
Imaki, Shohei
Torii, Ikuo
Komatsu, Hirokazu
author_sort Okada, Haruka
collection PubMed
description A 68-year-old man was transferred to our hospital because of sudden right costal pain with unmeasurable hypotension. Ultrasonography revealed possible hemorrhagic shock due to ruptured hepatocellular carcinoma (HCC). As the patient was not hemodynamically stable after primary treatment, resuscitative endovascular balloon occlusion of the aorta (REBOA) was performed, and hemodynamic stability was then achieved. Contrast-enhanced computed tomography confirmed the diagnosis. Transcatheter artery embolization with gelatin sponge particles and coils eliminated the extravasation. The patient was discharged on day 36 post-procedure. Our observations suggest that REBOA may help achieve hemodynamic stability in cases of ruptured HCC.
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spelling pubmed-91079712022-05-27 Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma Okada, Haruka Koike, Yuji Kishimoto, Shotaro Mori, Kosuke Imaki, Shohei Torii, Ikuo Komatsu, Hirokazu Intern Med Case Report A 68-year-old man was transferred to our hospital because of sudden right costal pain with unmeasurable hypotension. Ultrasonography revealed possible hemorrhagic shock due to ruptured hepatocellular carcinoma (HCC). As the patient was not hemodynamically stable after primary treatment, resuscitative endovascular balloon occlusion of the aorta (REBOA) was performed, and hemodynamic stability was then achieved. Contrast-enhanced computed tomography confirmed the diagnosis. Transcatheter artery embolization with gelatin sponge particles and coils eliminated the extravasation. The patient was discharged on day 36 post-procedure. Our observations suggest that REBOA may help achieve hemodynamic stability in cases of ruptured HCC. The Japanese Society of Internal Medicine 2021-09-25 2022-04-15 /pmc/articles/PMC9107971/ /pubmed/34565775 http://dx.doi.org/10.2169/internalmedicine.8133-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Okada, Haruka
Koike, Yuji
Kishimoto, Shotaro
Mori, Kosuke
Imaki, Shohei
Torii, Ikuo
Komatsu, Hirokazu
Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma
title Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma
title_full Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma
title_fullStr Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma
title_full_unstemmed Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma
title_short Successful Management of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to Ruptured Hepatocellular Carcinoma
title_sort successful management of resuscitative endovascular balloon occlusion of the aorta for hemorrhagic shock due to ruptured hepatocellular carcinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107971/
https://www.ncbi.nlm.nih.gov/pubmed/34565775
http://dx.doi.org/10.2169/internalmedicine.8133-21
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