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. 2002 Dec;8(6):1063-6.
doi: 10.3748/wjg.v8.i6.1063.

Etiology and management of hemmorrhage in spontaneous liver rupture: a report of 70 cases

Zhe-Yu Chen  1 , Qing-Hui Qi, Zuo-Liang Dong
Affiliations

Etiology and management of hemmorrhage in spontaneous liver rupture: a report of 70 cases

Zhe-Yu Chen et al. World J Gastroenterol. 2002 Dec.

Abstract

Aim: To analyze the causes and management of hemorrhage in spontaneous liver rupture.

Methods: Seventy cases of spontaneous liver rupture were retrospectively analyzed for causes of hemorrhage and therapeutic effects of surgical approaches.

Results: It was demonstrated that the causes of spontaneous liver rupture were primary liver cancer in 60 cases (85.7 %), cirrhosis in 3 cases (4.3 %), liver angioma in 2 cases (2.9 %), liver adenoma in 4 cases (5.7 %),and secondary liver cancer in 1 case (1.4 %). Hemostasis was achieved with surgical approaches in 68 cases (97.1 %) and non-surgical approaches in 2 cases (2.9 %). Surgical interventions included suture, ligation of hepatic artery, hepatic artery chemoembolization and partial hepatic resection.

Conclusion: The results suggest that surgical intervention is still the main therapeutic method and the best procedure that should be selected according to causes of disease and patient's condition and history.

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