HEMOSTATIC EMBOLIZATION OF HEPATOCELLULAR -CARCINOMA WITH PORTAL-VEINTHROMBOSIS AND INTRAPERITONEAL HEMORRHAGE

A 59-year-old chronic drinker (120 g alcohol/day) was hospitalized for sudden increase in abdominal volume found to be caused by a hemoperit onium resulting from ruptured hepatocellular carcinoma with thrombosis of the portal vein, Emergency arterial embolization with gelatin spon ge successfully stopped intraperitoneal bleeding, No surgical treatmen t could be attempted due the severity of the cirrhosis, This patient s urvived for 4.5 month. Based on this observation and a review of the l iterature, it can be suggested that hemostatic embolization is an effe ctive treatment for spontaneous hemorrhage of hepatocellular carcinoma even in cases with portal vein thrombosis.