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Management of ruptured hepatocellular carcinoma invading the gastrointestinal tract: A case report by Bassel Hafez; Bassam Osman; Joelle Chami; Jana Haidar Ahmad; Karim Ataya; Mohamad Jawad Khalife is a Medicine article available to read on EtoBox.

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## Introduction and importance Hepatocellular carcinoma (HCC) constitutes most of primary liver cancers. HCC invading the gastrointestinal tract (GIT) is considered a rare entity with limited reports in the literature. Management can either be palliative or curative such as transarterial chemoembolization (TACE) followed by definitive resection. Here, we present a case of direct HCC invasion of the GIT that was managed by surgical resection. ## Case presentation A 74-year-old male with a history of a liver mass, found to have HCC. Admitted for medical optimization prior to definitive resection, however his stay was complicated by hemorrhagic shock, with imaging findings of hemoperitoneum suggestive of spontaneous rupture of the mass. TACE was done to stabilize the patient prior to resection. Patient was taken immediately to the operating room for definitive resection. ## Clinical discussion Most cases of direct HCC invasion into the GI tract present mainly with GI bleed. Some patients, present with abdominal pain without any warning signs of an occult GI bleed. Thus, absence of an occult GI bleeding does not exclude a GIT invasion. Management options are several, but in advanced st

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Author

Bassel Hafez; Bassam Osman; Joelle Chami; Jana Haidar Ahmad; Karim Ataya; Mohamad Jawad Khalife

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)