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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="surgery" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">270</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2024.40403</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Surgery</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Hepatocellular Carcinoma (HCC): A Case of Ruptured Hepatocellular Carcinoma Associated with Liver Schistosomiasis&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Tantawi</surname>
            <given-names>Eyad</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Albadawi</surname>
            <given-names>Fadi</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alharthi</surname>
            <given-names>Abdulrahman</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Althobity</surname>
            <given-names>Omar</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alshanbari</surname>
            <given-names>Abdullah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alghamdi</surname>
            <given-names>Fares</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Qamrah</surname>
            <given-names>Wied</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>kharoub</surname>
            <given-names>Ibrahim</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>AL-Zaidi</surname>
            <given-names>Rana</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alhoseny</surname>
            <given-names>Wael</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>18</day>
        <month>04</month>
        <year>2024</year>
      </pub-date>
      <volume>4</volume>
      <issue>4</issue>
      <fpage>174</fpage>
      <lpage>181</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Background: Hepatocellular carcinoma (HCC) makes up 75% of liver cancer cases and is recognized as the sixth most common cancer worldwide. Ruptured HCC can occur in 3 to 15% of cases, and it is the third most common cause of mortality in patients with HCC. Most patients are present with acute presentation of abdominal pain and signs of hemorrhagic shock. Nevertheless, the 5-year survival rate is between 5% and 15%, reflecting these patients__ampersandsign#39; challenging management. We report a ruptured HCC, successfully treated with hepatic wedge resection.&#13;
&#13;
Case presentation: A 56-year-old man from Yemen, who has no prior medical conditions, suddenly experienced severe abdominal pain after eating his dinner. Upon examination, he showed signs of generalized peritonitis, including rigidity, tenderness, and distention mainly in his right upper quadrant. An abdominal CT with IV contrast revealed fluid in his liver, right side abdomen, and pelvis, along with evidence of contrast blush at the extrahepatic portion of the hepatic lesion. A rupture of the lesion occurred, and a surgical intervention was performed to remove the bleeding liver segment. Afterwards, the patient recovered and was discharged for follow up.&#13;
&#13;
Conclusion: Schistosomiasis is a significant parasitic infection that can lead to the development of HCC. It is important to monitor patients from regions where schistosomiasis is endemic to prevent this complication. The rupture of HCC is a critical event that requires immediate and aggressive management to avoid fatal outcomes. Additionally, the simultaneous treatment of both HCC and schistosomiasis is essential for optimal patient care.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>Abdominal hemorrhage</kwd>
        <kwd> Liver</kwd>
        <kwd> Mortality</kwd>
        <kwd> Ruptured</kwd>
        <kwd> Tumor</kwd>
        <kwd> Schistosomiasis</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>