Ruptured hepatocellular carcinoma disguising as heterotopic pregnancy

BMJ Case Reports
Qiu N LeeMahsa Seyed Ahadi

Abstract

The incidence of hepatocellular carcinoma (HCC) in pregnancy is rare but is typically aggressive, with a 1-year survival rate of 23%. One of the complications of HCC is spontaneous rupture, resulting in haemoperitoneum. A 36-year-old pregnant Chinese immigrant who was positive for hepatitis B virus and in her first trimester presented to the emergency department of Wyong Hospital, Hamlyn Terrace, New South Wales, Australia, with severe epigastric and right upper quadrant pain and haemodynamic instability. Spontaneous rupture of a heterotopic pregnancy was initially suspected. However, histopathological staining of the lesions excised during surgery revealed HCC. To our knowledge, this is the first case of spontaneous rupture of HCC with haemoperitoneum during pregnancy in Australia. As developed countries receive global migrants, similar cases may be seen in the future. Epidemiological studies suggest that immigrants from China and Vietnam have the highest incidence of chronic hepatitis B virus carrier status.

References

Dec 22, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·H B El-SeragC Key
Feb 11, 2004·American Journal of Surgery·Frederick C Cobey, Ronald R Salem
May 30, 2009·Cleveland Clinic Journal of Medicine·Morris Sherman
Feb 25, 2010·Annals of Surgical Oncology·Stephen B Edge, Carolyn C Compton
Apr 28, 2012·Gastroenterology·Hashem B El-Serag
Jul 16, 2013·Orvosi hetilap·Gábor Horváth
May 18, 2016·Journal of Clinical and Diagnostic Research : JCDR·Divya Narayanan Kutty, M P Kanchana

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