Case Report
Volume: 4 | Issue: 4 | Published: Apr 26, 2020 | Pages: 116 - 118 | DOI: 10.24911/ejmcr/173-1553444773
Post traumatic hepatic bleeding in hepatocellular carcinoma
Authors: Silvia Pradella , Silvia Verna , Mayla Letteriello , Giacomo Batignani , Vittorio Miele
Article Info
Authors
Silvia Pradella
Department of Radiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Silvia Verna
Department of Radiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Mayla Letteriello
Department of Radiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Giacomo Batignani
Department of Surgery and Translational Medicine, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Vittorio Miele
Department of Radiology, Azienda Ospedaliero Universitaria Careggi, Florence, Italy
Publication History
Received: March 25, 2019
Accepted: April 11, 2020
Published: April 26, 2020
Abstract
Background: Hepatic bleeding tumors are rare. It is important to become familiar with CT images because they can create diagnostic issues. Delayed treatment could cause the death of the patient. Case Presentation: A 42-year-old Chinese man was referred to the Emergency Room because of a trauma. One week later, he was readmitted to the Emergency Department for abdominal pain and signs of hemorrhagic shock. At this occasion, a CT scan is performed. The examination revealed the presence of intraabdominal bleeding with a liver hematoma and a liver bleeding mass. The patient had then surgery and a large bleeding hepatocellular carcinoma was resected. Conclusion: We report an unusual case of a bleeding mass following a trauma. In case of mild trauma, the symptoms may be few and hemoperitoneum may not be present in the early phases. The patient may not have a CT scan or the CT scan can be difficult to interpret because of the presence of bleeding.
Keywords: Hepatocellular carcinoma (HCC), hepatic hemorrhage, computed tomography (CT), case report, green
