A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma | Zendy

Chen-Yi Liao | Zendy; WuHsien Kuo | Zendy; EnHua Huang | Zendy; An-Tie Hsieh | Zendy; Ching-Chang Le | Zendy; ChiChang Tsai | Zendy; Chao-Wen Hsueh | Zendy

Open Access

A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma

Author(s) -

Chen-Yi Liao,

WuHsien Kuo,

EnHua Huang,

An-Tie Hsieh,

Ching-Chang Le,

ChiChang Tsai,

Chao-Wen Hsueh

Publication year - 2015

Publication title -

gastroenterology report

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.934

H-Index - 26

eISSN - 2052-0034

pISSN - 2304-1412

DOI - 10.1093/gastro/gov030

Subject(s) - medicine , melena , hepatocellular carcinoma , superior mesenteric artery , radiology , abdomen , angiography , arterial embolization , abdominal pain , embolization , surgery

A 65-year-old male was brought to our hospital with right upper abdominal fullness sensation and recent body weight loss of about 3 kg. The patient had developed episodes of melena following progressive abdominal muscular guarding and drop of haemoglobin level to 6.3 g/dL. An abdominal computed tomography scan disclosed a ruptured hepatocellular cell carcinoma. A segmental arterial mediolysis was found on the superior mesenteric artery in the process of repairing the ruptured right hepatic artery with the assistance of angiography. Transarterial embolization was carried out and permanent haemostasis was achieved.

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