%0 Journal Article
%T Hemorrhagic extrahepatic recurrence of hepatocellular carcinoma: A case report
%A David Gan Eng Yeow
%A Gilbert Peh Voon Yeow
%A Mohd Sharifudin Sharif
%A Padmaan Sankaran
%A Thanesh Maiyauen
%J Archive of "Annals of Hepato-Biliary-Pancreatic Surgery".
%D 2019
%R 10.14701/ahbps.2019.23.1.77
%X The recurrence of hepatocellular carcinoma (HCC) can mainly be divided into two phases or types: the intrahepatic recurrence (IHR) and the extrahepatic recurrence (EHR). Generally speaking, the EHR is usually referenced as being the less common of the two types or categories. In a post-hemihepatectomy patient with routine surveillance at 6 months, it was noted that the patient appeared to have an elevated alpha-fetoprotein, and also complained of vague lower abdominal pain. The accompanying computed tomography scan revealed a 6 cm-sized heterogeneous mass located at the pelvis region. Next, during a laparotomy for resection, the tumor was found to be bleeding from the omental deposition. 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
%K Hepatocellular carcinoma
%K Omental recurrence
%K Recurrence
%K Extrahepatic
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405368/