L'hémopéritoine spontané: diagnostic, pronostic et thérapeutiques possibles [Spontaneous hemoperitoneum: diagnosis, prognosis and possible therapeutics]

Details

Serval ID
serval:BIB_37AD6F342578
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
L'hémopéritoine spontané: diagnostic, pronostic et thérapeutiques possibles [Spontaneous hemoperitoneum: diagnosis, prognosis and possible therapeutics]
Journal
Praxis
Author(s)
Jayet P.Y., Frochaux V., Qanadli S., Lamy O.
ISSN
1661-8157
Publication state
Published
Issued date
2006
Volume
95
Number
27-28
Pages
1091-4
Language
german
Notes
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
Abstract
We report the case of a 58-year-old diabetic man admitted to the hospital in a comatose state due to medicamentous hypoglycemia in a context of hypovolemic acute renal failure. Hypovolemia was due to hemoperitoneum in a alcoholic patient with cirrhotic hepatic failure. CT-scan and arterial angiographies revealed a voluminous isolated hepatic mass with active bleeding suggesting the diagnosis of spontaneous bleeding from a hepatocellular carcinoma. The hemorrhage resolved after selective arterial embolization, but the patient died two weeks later from an infectious cause. The differential diagnosis of a spontaneous hemoperitoneum and possibilities of treatment in the case of ruptured hepatocellular carcinoma are discussed.
Keywords
Carcinoma, Hepatocellular, Diagnosis, Differential, Embolization, Therapeutic, Hemoperitoneum, Humans, Liver Neoplasms, Male, Middle Aged, Paracentesis, Prognosis, Radiography, Abdominal, Rupture, Spontaneous, Tomography, X-Ray Computed
Pubmed
Create date
11/04/2008 12:23
Last modification date
20/08/2019 13:26
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