Unusual Presentation of Hepatocellular Carcinoma with Peritoneal Carcinomatosis: Importance of Abdominal Distension as a Clinical Indicator | [Journal of Bahria University Medical and Dental College • 2023]

Author(s):

1. Mariam Shahid: Department of Radiology, Jinnah Postgraduate Medical Centre, Pakistan

2. Marya Hameed: Department of Radiology, National Institute of Child Health, Pakistan

3. Syed Maaz Tariq: Department of Medicine, National Institute of Child Health, Pakistan

4. Ameet Kumar Jesrani: Department of Radiology, Sindh Institute of Urology and Transplantation, Pakistan

5. Ashok Kumar: Department of Medicine, National Institute of Child Health, Pakistan

6. Suneeta Bansari: Department of Radiology, House Office, Department of Medicine, National Institute of Child Health, Pakistan

Abstract:

Hepatocellular carcinoma (HCC) is a common malignancy of the liver. It is frequently diagnosed in the male gender with a racial predilection towards Asian and African populations. In addition to distant metastasis, large tumors can result in direct extrahepatic metastasis to the peritoneum and diaphragm through rupture of exophytic tumor hepatocellular carcinoma in peritoneal cavity. We report a case of a 55-year-old male having hepatocellular carcinoma secondary to hepatitis C with peritoneal metastasis. The CT abdomen with contrast triphasic study was suggestive of alarming features of chronic liver disease with multicentric hepatoma formation predominantly in segment VIII with the localized subcapsular collection. Additionally, an extensive omental thickening and nodularity were also seen in subhepatic space. Multiple nodules were seen in right cardiophrenic angle, right lower abdomen, and rectovesical pouch. In contrast to conventional chemotherapy with sorafenib, cytoreduction surgery with hyperthermic intraperitoneal chemotherapy has been shown to dramatically improve survival in patients.

Page(s): 240-243

DOI: 10.51985/JBUMDC2022099

Published: Journal: Journal of Bahria University Medical and Dental College, Volume: 13, Issue: 3, Year: 2023

Keywords:

Liver , Hepatocellular carcinoma , Metastasis , Mesh

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