Year 2019 / Volume 111 / Number 10
Letter
Ruptured hepatic sarcoma as a cause of acute abdomen

814-815

DOI: 10.17235/reed.2019.6163/2019

Jorge Luna-Abanto, Luis García Ruiz,

Abstract
A 24-year-old male patient, in study for a hepatic tumor, was admitted to emergency due to hypovolemic shock and anemia. The abdominal CT scan showed an extensive expansive lesion of 11.8x11.7cm in liver segments II and III with rupture signs and lamellar hyperdense component of haematic and necrotic aspect, associated with free fluid in the abdominal cavity (Fig 1.A). The tumor markers (DHL, AFP, CEA) and viral serology were negative. The patient was submitted to surgery, an exploratory laparotomy + Pringle maneuver + II and III hepatic segmentectomy was performed. Abundant intra-abdominal blood was evidenced, and an extensive multilobed 20x20cm tumor dependent on II and III hepatic segments, a R2 surgery was achieved. The histological study showed a non-classifiable high grade sarcoma, CD56 positive (Fig. 1.B). The patient was discharged after 7 days.
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References
1. Yu-Hung L, Chih-Che L, Concejero A, et al. Surgical experience of adult primary hepatic sarcomas. World J Surg Oncol. 2015; 13: 87.
2. Fahrner R, Dennler SGC, Dondorf F, et al. Experiences with surgically treated primary or secondary hepatic sarcoma. Langenbecks Arch Surg. 2017 Jun;402(4):585-590.
3. Putra J, Ornvold K. Undifferentiated embryonal sarcoma of the liver: a concise review. Arch Pathol Lab Med. 2015 Feb;139(2):269-73.
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Luna-Abanto J, García Ruiz L. Ruptured hepatic sarcoma as a cause of acute abdomen. 6163/2019


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Publication history

Received: 07/01/2019

Accepted: 22/01/2019

Online First: 23/09/2019

Published: 03/10/2019

Article Online First time: 259 days

Article editing time: 269 days


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