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Hemorrhagic extrahepatic recurrence of hepatocellular carcinoma: A case report
Ann Hepatobiliary Pancreat Surg 2019 Feb;23(1):77-9
Published online February 28, 2019;
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Gilbert Peh Voon Yeow1, David Gan Eng Yeow1, Padmaan Sankaran1, Thanesh Maiyauen1, and Mohd Sharifudin Sharif2

1General Surgery Department, Hospital Queen Elizabeth, 2Gleneagles Kota Kinabalu, Sabah, Malaysia
Received March 3, 2018; Revised July 11, 2018; Accepted July 13, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Hepatocellular carcinoma; Omental recurrence; Recurrence; Extrahepatic


February 2019, 23 (1)