Nalan Gülşen ÜNAL, Nevin ORUÇ, Ömer ÖZÜTEMİZ, Başak DOĞANAVŞARGİL, Oktay TEKEŞİN

Rezeke hepatosellüler karsinomalı sirotik hastada nadir üst GİS kanama sebebi: Tümör nüksüne bağlı duodenum invazyonu

Hepatosellüler karsinoma sirotik karaciğerde en sık görülen tümördür. Bu hastalarda üst gastrointestinal sistem kanamalarının en sık nedeni portal hipertansiyona sekonder gelişen varis kanamalarıdır. Gastrointestinal trakta tümör invazyonuna bağlı kanama özellikle hepatosellüler karsinoma rezeke vakalarda çok seyrektir. Burada hepatosellüler karsinoma nedeniyle karaciğer rezeksiyonu uygulanmış, tümör nüksünün duodenum invazyonu bağlı masif hematemezle başvuran olgu sunulmuştur.

Anahtar Kelimeler:

Hepatosellüler karsinoma, gastrointestinal kanama, duodenum invazyonu

A rare cause of upper gastrointestinal bleeding in patients with cirrhosis and resected hepatocellular carcinoma: Recurrent tumor invasion into the duodenum

Hepatocellular carcinoma is the most common tumor in cirrhotic patients. The major cause of upper gastrointestinal bleeding in these patients is variceal bleeding secondary to portal hypertension. Bleeding from tumor invasion into the gastrointestinal tract is very rare, especially in hepatocellular carcinoma resected patients. We describe herein a resected hepatocellular carcinoma case who presented with massive hematemesis due to duodenal invasion of tumor recurrence.

Keywords:

Hepatocellular carcinoma, gastrointestinal bleeding, duodenum invasion,

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