Spontaneous rupture of the liver in a patient with chronic hepatitis B and D
Spontaneous rupture of the liver in a patient with chronic hepatitis B and D作者机构：Liver Research UnitChang Gung Memorial Hospital and Institute of TechnologyKeelung
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2007年第13卷第32期
页 面：4405-4407页
核心收录：
学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学]
主 题：Spontaneous liver rupture Hemoperitoneum Hepatitis B
摘 要：Spontaneous rupture of the liver is a rare condition with serious consequences,if not recognized and treated in time. It has been reported as a complication of several disorders,including benign or malignant liver tumors,connective tissue disease,infiltrating liver disease,preeclampsia,and post anticoagulant therapy. We report a case of spontaneous rupture of liver in a non-cirrhotic,chronic hepatitis B and D patient presenting with acute hemoperitoneum and shock. The subcapsular hematoma and rupture of liver were documented by image studies. The patients condition gradually stabilized after fluid resuscitation. The reported case and literature review suggest that spontaneous rupture of liver must be considered in a differential diagnosis of acute hemoperitoneum. A high index of suspicion and early diagnosis with imaging are critically important.
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