A case of non-occlusive mesenteric ischemia following hepatocellular carcinoma rupture.

Bleeding Hepatocellular carcinoma Hypovolemic shock Liver cancer Non-occlusive mesenteric ischemia

Journal

Clinical journal of gastroenterology
ISSN: 1865-7265
Titre abrégé: Clin J Gastroenterol
Pays: Japan
ID NLM: 101477246

Informations de publication

Date de publication:
18 Oct 2024
Historique:
received: 09 09 2024
accepted: 05 10 2024
medline: 18 10 2024
pubmed: 18 10 2024
entrez: 18 10 2024
Statut: aheadofprint

Résumé

Hepatocellular carcinoma (HCC) rupture is a severe complication, yet there is limited literature on cases complicated by subsequent non-occlusive mesenteric ischemia (NOMI). A 77-year-old man presented to our hospital with abdominal pain and shock. Arterial phase computed tomography (CT) hepatic arteriography revealed a 77-mm HCC in the left lobe with active extravasation, and the feeding artery was embolized. Although the abdominal pain initially subsided after the procedure, it recurred the next day. A contrast-enhanced CT scan revealed pneumatosis intestinalis and decreased enhancement of the small intestinal wall. The patient underwent resection of the affected segment of the small intestine and was ultimately diagnosed with NOMI based on pathological findings. This is the first reported case of NOMI following HCC rupture. Given the high mortality associated with these conditions, clinicians should be aware of this rare complication and ensure comprehensive evaluation and timely intervention to improve patient outcomes.

Identifiants

pubmed: 39422859
doi: 10.1007/s12328-024-02051-5
pii: 10.1007/s12328-024-02051-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Japanese Society of Gastroenterology.

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Auteurs

Ivana Radosavaljevic (I)

Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd. MDC40, Tampa, FL, 33612-4799, USA.

Takao Miwa (T)

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan. miwa.takao.a6@f.gifu-u.ac.jp.
Health Administration Center, Gifu University, 1-1 Yanagido, Gifu, 501-1193, Japan. miwa.takao.a6@f.gifu-u.ac.jp.

Masafumi Kawade (M)

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Shinji Unome (S)

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Kenji Imai (K)

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Koji Takai (K)

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Division for Regional Cancer Control, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Fuminori Yamaji (F)

Department of Emergency and Disaster Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Tetsuya Fukuta (T)

Department of Emergency and Disaster Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Shusuke Nomura (S)

Department of Pathology and Translational Study, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Masahito Shimizu (M)

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Classifications MeSH