A CLINICAL STUDY OF RUPTURED HEPATOCELLULAR CARCINOMA

Abstract

Clinical investigation was carried out in twenty cases with ruptured hepatocellular carcinoma during 1979-1986. The rupture occured spontaneously in 12 patients, but 8 patients had the cause or predisposing factor of rupture such as endoscopy, defecation, infusion of adriamycin. The initial symptoms were the sudden on set of pain, shock and muscular defence, ileus, vomiting and fever. Transcatheter arterial embolization (TAE) was performed in five patients. Two among five patients showed longterm survival, but the others worsened rapidly after TAE and died within short period.