Sarcomatoid Hepatocellular Carcinoma with Spontaneous Intraperitoneal Bleeding

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Author(s)

    • Watanabe Yukinobu
    • Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Japan
    • Matsumoto Naoki
    • Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Japan
    • Ogawa Masahiro
    • Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Japan
    • Moriyama Mitsuhiko
    • Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Japan

Abstract

An 80-year-old woman was admitted to our hospital with right hypochondralgia. Abdominal ultrasonography showed a well-circumscribed round lesion in segments 5 and 6 of the liver. Contrast-enhanced ultrasonography (CEUS) indicated that the tumor was enhanced in the arterial phase, changing to hypo-enhanced 30 seconds following contrast injection. After admission, the patient complained of epigastralgia, and CEUS subsequently demonstrated extravasation from the tumor. Although abdominal angiography was successful for achieving hemostasis, the tumor grew rapidly and the patient died. An autopsy revealed the presence of sarcomatoid hepatocellular carcinoma (HCC). The literature is lacking in details regarding CEUS findings for sarcomatoid HCC and rupture. We herein report a rare case of sarcomatoid HCC.<br>

Journal

  • Internal Medicine

    Internal Medicine 54(13), 1613-1617, 2015

    The Japanese Society of Internal Medicine

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