HBP SURGERY WEEK 2018

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[Poster - Liver Disease/Surgery]

[P029] An uncommon finding; Bleeding extrahepatic recurrence of hepatocellular carcinoma
Gilbert PEH1, David GAN1, Padmaan SANKARAN1, Thanesh Kumar MAIYAUEN1, Mohd Sharifudin SHARIF2
1General Surgery, Ministry of Health, Malaysia 2Hepatobiliary Surgery, Gleneagle, Malaysia, Malaysia

Introduction : Recurrence of Hepatocellular carcinoma (HCC) can mainly be divided into intrahepatic recurrence (IHR) and extrahepatic recurrence (EHR). EHR being the less common of the two.

Methods : case report

Results : In a post-hemihepatectomy patient with routine surveillance at 6 months, was noted to have elevated Alpha-Fetoprotein and complained of vague lower abdominal pain. CT scan revealed a 6cm heterogenous mass located at pelvis. During laparotomy for resection, the tumour was found to be bleeding.

Conclusions : In conclusion, a high index of suspicion and early surgical intervention can help in detecting possible bleeding extrahepatic recurrence in the background of a patient with history of HCC.



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Poster
Poster / Exhibition Hall and Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM