1/5. Ruptured giant liver cyst: a rare cause of acute abdomen in a haemodialysis patient with autosomal dominant polycystic kidney disease.Autosomal dominant polycystic kidney disease (ADPKD) is a common hereditary disorder. Although liver involvement is the most frequent extra-renal manifestation, serious complications due to liver cysts are very rare. We report the occurrence of an acute abdomen caused by massive haemoperitoneum resulting from rupture of a giant liver cyst in ADPKD. Data suggest that chronic anticoagulation therapy should be avoided where possible in the presence of a giant liver cyst.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/5. hemoperitoneum from a spontaneous rupture of a giant hemangioma of the liver: report of a case.hemangioma is the most common benign tumor of the liver and it is often asymptomatic. Spontaneous or traumatic rupture, intratumoral bleeding, consumption coagulopathy, and rapid growth are mandatory surgical indications. We report a case of giant hemangioma of hepatic segments II and III, which presented as hemoperitoneum, and were treated successfully with preoperative transcatheter arterial embolization (TAE) and hepatic bisegmentectomy. A pubmed medline search has identified up to now 32 cases of spontaneous rupture of hepatic hemangioma in adults (age >14 years) without a history of trauma, including the present case. Twenty-seven out of these were reviewed. Sixteen (84.2%) of 19 tumors of known size were giant hemangiomas (mean diameter 14.8 cm; range 6-25). Twenty-two (95.7%) patients underwent surgery. Thirteen patients (59.1%) had a resection, 5 (22.8%) were sutured, and 4 (18.1%) underwent tamponade. Three (23%) out of the 13 resected patients died. Four patients (30.8%) underwent TAE prior to elective hepatic resection without any operative mortality. Among the 5 sutured patients, 2 (40%) died as well as 3 (75%) out of 4 patients who underwent tamponade. The mortality rate of all surgery patients was 36.4% (8/22).- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/5. Segmental Takayasu (giant cell) aortitis with rupture and limited dissection.takayasu arteritis is a chronic inflammatory disease of the aorta and its main branches, with variable extents of involvement. Rarely is it sharply localized in an isolated segment of the aorta, and it seldom occurs in an elderly person. Clinically, takayasu arteritis produces symptoms of vascular insufficiency, predominantly because of the occlusive disease and less commonly because of aneurysmal disease of the affected arteries. An unusual case of segmental takayasu arteritis confined to the infrarenal abdominal aorta in an elderly woman is described, in which rupture and fatal hemoperitoneum were the initial manifestations of the disease.- - - - - - - - - - ranking = 0.66666666666667keywords = giant (Clic here for more details about this article) |
4/5. Spontaneous hemoperitoneum from a giant multicystic hemangioma of the liver: a case report.We describe a rare case of hemoperitoneum due to spontaneous rupture of a giant cavernous hemangioma of the liver. CT demonstrated both the intraperitoneal hemorrhage and the hepatic lesion, which showed an atypical multicystic appearance. Furthermore, CT showed the site of rupture of the hemangioma.- - - - - - - - - - ranking = 0.83333333333333keywords = giant (Clic here for more details about this article) |
5/5. Traumatic rupture of hepatic hemangioma.Although hepatic hemangioma is common, its rupture after trauma is rare. We report a 47-year-old woman with a traumatic hepatic hemangioma rupture following a traffic accident who successfully underwent operation. Only four cases of hepatic hemangioma rupture caused by blunt trauma have been reported including this one. Each patient (two men and two women) had a giant right lobe hemangioma. The causal injury included a traffic accident in two, a fall in one, and minor trauma in another. Three patients underwent surgery, and one was conservatively managed. All the patients survived.- - - - - - - - - - ranking = 0.16666666666667keywords = giant (Clic here for more details about this article) |