Skip to main content
Erschienen in: Abdominal Radiology 6/2008

01.11.2008

The various manifestations of ruptured hepatocellular carcinoma: CT imaging findings

verfasst von: Hyun Cheol Kim, Dal Mo Yang, Wook Jin, Seong Jin Park

Erschienen in: Abdominal Radiology | Ausgabe 6/2008

Einloggen, um Zugang zu erhalten

Abstract

Hepatocellular carcinoma (HCC) has a tendency to rupture spontaneously which leads to a life-threatening condition. Disruption of the tumor surface or a tear in a parasitic feeding artery can cause HCC rupture leading to hemoperitoneum. When evaluating patients with a ruptured HCC, CT can detect tumors, determine tumor extent, define the presence of tumor bleeding, and show serial hematoma density changes. Thus, familiarity with the various CT findings of ruptured HCCs is essential to ensure proper diagnosis and treatment. In this pictorial essay, the authors illustrate the usual and unusual manifestations of ruptured HCCs, as visualized by CT, and include some angiographic correlations. CT findings predictive of HCC rupture are also discussed.
Literatur
1.
Zurück zum Zitat Lai EC, Lau WY (2006) Spontaneous rupture of hepatocellular carcinoma: a systematic review Arch Surg 141:191–198PubMedCrossRef Lai EC, Lau WY (2006) Spontaneous rupture of hepatocellular carcinoma: a systematic review Arch Surg 141:191–198PubMedCrossRef
2.
Zurück zum Zitat Casillas VJ, Amendola MA, Gascue A, et al. (2000) Imaging of nontraumatic hemorrhagic hepatic lesions Radiographics 20:367–378PubMed Casillas VJ, Amendola MA, Gascue A, et al. (2000) Imaging of nontraumatic hemorrhagic hepatic lesions Radiographics 20:367–378PubMed
3.
Zurück zum Zitat Yeh CN, Lee WC, Jeng LB, et al. (2002) Spontaneous tumour rupture and prognosis in patients with hepatocellular carcinoma Br J Surg 89:1125–1129PubMedCrossRef Yeh CN, Lee WC, Jeng LB, et al. (2002) Spontaneous tumour rupture and prognosis in patients with hepatocellular carcinoma Br J Surg 89:1125–1129PubMedCrossRef
4.
Zurück zum Zitat Kim PN, Kim IY, Bae WK, et al. (1991) Computed tomographic findings of ruptured hepatic malignancy Gastrointest Radiol 16:334–336PubMedCrossRef Kim PN, Kim IY, Bae WK, et al. (1991) Computed tomographic findings of ruptured hepatic malignancy Gastrointest Radiol 16:334–336PubMedCrossRef
5.
Zurück zum Zitat Ngan H, Tso WK, Lai CL, et al. (1998) The role of hepatic arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinoma. Clin Radiol 53:338–341PubMedCrossRef Ngan H, Tso WK, Lai CL, et al. (1998) The role of hepatic arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinoma. Clin Radiol 53:338–341PubMedCrossRef
6.
Zurück zum Zitat Kanematsu M, Imaeda T, Yamawaki Y, et al. (1992) Rupture of hepatocellular carcinoma: predictive value of CT findings AJR Am J Roentgenol 158:1247–1250PubMed Kanematsu M, Imaeda T, Yamawaki Y, et al. (1992) Rupture of hepatocellular carcinoma: predictive value of CT findings AJR Am J Roentgenol 158:1247–1250PubMed
7.
Zurück zum Zitat Chearanai O, Plengvanit U, Asavanich C, et al. (1983) Spontaneous rupture of primary hepatoma: report of 63 cases with particular reference to the pathogenesis and rationale treatment by hepatic artery ligation Cancer 51:1532–1536PubMedCrossRef Chearanai O, Plengvanit U, Asavanich C, et al. (1983) Spontaneous rupture of primary hepatoma: report of 63 cases with particular reference to the pathogenesis and rationale treatment by hepatic artery ligation Cancer 51:1532–1536PubMedCrossRef
8.
Zurück zum Zitat Ong GB, Chu EP, Yu FY, et al. (1965) Spontaneous rupture of hepatocellular carcinoma Br J Surg 52:123–129PubMedCrossRef Ong GB, Chu EP, Yu FY, et al. (1965) Spontaneous rupture of hepatocellular carcinoma Br J Surg 52:123–129PubMedCrossRef
9.
Zurück zum Zitat Nagasue N, Inokuchi K, Kobayashi M, et al. (1977) Hepatoportal arteriovenous fistula in primary carcinoma of the liver Surg Gynecol Obstet 145:504–508PubMed Nagasue N, Inokuchi K, Kobayashi M, et al. (1977) Hepatoportal arteriovenous fistula in primary carcinoma of the liver Surg Gynecol Obstet 145:504–508PubMed
10.
Zurück zum Zitat Zhu LX, Geng XP, Fan ST (2001) Spontaneous rupture of hepatocellular carcinoma and vascular injury Arch Surg 136:682–687PubMedCrossRef Zhu LX, Geng XP, Fan ST (2001) Spontaneous rupture of hepatocellular carcinoma and vascular injury Arch Surg 136:682–687PubMedCrossRef
11.
Zurück zum Zitat Lubner M, Menias C, Rucker C, et al. (2007) Blood in the belly: CT findings of hemoperitoneum Radiographics 27:109–125PubMedCrossRef Lubner M, Menias C, Rucker C, et al. (2007) Blood in the belly: CT findings of hemoperitoneum Radiographics 27:109–125PubMedCrossRef
12.
Zurück zum Zitat Orwig D, Federle MP (1989) Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign AJR Am J Roentgenol 153:747–749PubMed Orwig D, Federle MP (1989) Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign AJR Am J Roentgenol 153:747–749PubMed
13.
Zurück zum Zitat Shanmuganathan K, Mirvis SE, Reaney SM (1995) Pictorial review: CT appearances of contrast medium extravasations associated with injury sustained from blunt abdominal trauma Clin Radiol 50:182–187PubMedCrossRef Shanmuganathan K, Mirvis SE, Reaney SM (1995) Pictorial review: CT appearances of contrast medium extravasations associated with injury sustained from blunt abdominal trauma Clin Radiol 50:182–187PubMedCrossRef
14.
Zurück zum Zitat Chen CY, Lin XZ, Shin JS, et al. (1995) Spontaneous rupture of hepatocellular carcinoma. A review of 141 Taiwanese cases and comparison with nonrupture cases J Clin Gastroenterol 21:238–242PubMedCrossRef Chen CY, Lin XZ, Shin JS, et al. (1995) Spontaneous rupture of hepatocellular carcinoma. A review of 141 Taiwanese cases and comparison with nonrupture cases J Clin Gastroenterol 21:238–242PubMedCrossRef
15.
Zurück zum Zitat Choi BG, Park SH, Byun JY, et al. (2001) The findings of ruptured hepatocellular carcinoma on helical CT Br J Radiol 74:142–146PubMed Choi BG, Park SH, Byun JY, et al. (2001) The findings of ruptured hepatocellular carcinoma on helical CT Br J Radiol 74:142–146PubMed
16.
Zurück zum Zitat Kim PT, Su JC, Buczkowski AK, et al. (2006) Computed tomography and angiographic interventional features of ruptured hepatocellular carcinoma: pictorial essay Can Assoc Radiol J 57:159–168PubMed Kim PT, Su JC, Buczkowski AK, et al. (2006) Computed tomography and angiographic interventional features of ruptured hepatocellular carcinoma: pictorial essay Can Assoc Radiol J 57:159–168PubMed
17.
Zurück zum Zitat Kim TK, Han JK, Chung JW, et al. (1996) Intraperitoneal drop metastases from hepatocellular carcinoma: CT and angiographic findings J Comput Assist Tomogr 20:638–642PubMedCrossRef Kim TK, Han JK, Chung JW, et al. (1996) Intraperitoneal drop metastases from hepatocellular carcinoma: CT and angiographic findings J Comput Assist Tomogr 20:638–642PubMedCrossRef
18.
Zurück zum Zitat Kim PN, Kim IY, Lee KS (1994) Intraperitoneal seeding from hepatoma Abdom Imaging 19:309–312PubMed Kim PN, Kim IY, Lee KS (1994) Intraperitoneal seeding from hepatoma Abdom Imaging 19:309–312PubMed
Metadaten
Titel
The various manifestations of ruptured hepatocellular carcinoma: CT imaging findings
verfasst von
Hyun Cheol Kim
Dal Mo Yang
Wook Jin
Seong Jin Park
Publikationsdatum
01.11.2008
Verlag
Springer-Verlag
Erschienen in
Abdominal Radiology / Ausgabe 6/2008
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-007-9353-7

Weitere Artikel der Ausgabe 6/2008

Abdominal Radiology 6/2008 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.