Abstract

INSAUSTI, Agustín; OROZCO, Francisco; IAQUINANDI, Juan Cruz  and  STORK, Gustavo. Spontaneous hepatic hemorrhage as unusual cause of acute intra-abdominal hemorrhage. Rev. argent. cir. [online]. 2023, vol.115, n.1, pp.77-80. ISSN 2250-639X.  http://dx.doi.org/10.25132/raac.v115.n1.1646.

Spontaneous hepatic hemorrhage (SHH) is a rare condition resulting from a breach in the hepatic parenchyma that occurs without an external cause. We report the case of a 74-year-old woman who, while being hospitalized due to exacerbation of chronic obstructive pulmonary disease (COPD), presented an episode of SHH with hemorrhagic shock. She underwent atypical resection of a hepatocellular carcinoma (HCC) with active bleeding in liver segment III. The patient had a favorable response to the initial treatment but died in the intensive care unit (ICU) on postoperative day 16 due to a respiratory tract complication.

Keywords : Spontaneous hepatic hemorrhage; Carcinoma; Hepatocellular.

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