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Sonographic and color Doppler findings of rupture of liver tumors
Authors:H. Ishida  K. Konno  Y. Hamashima  H. Naganuma  T. Komatsuda  M. Sato  S. Kato  J. Ishida  O. Masamune
Affiliation:(1) First Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, Japan, JP;(2) Department of Radiology, Tokyo Medical College, Nishishinjuku, Shinjuku-ku, Tokyo, Japan, JP
Abstract:We present six cases of ruptured liver tumor (hepatocellular carcinoma, five cases; liver metastasis, one case) in which gray-scale sonography revealed an ascites containing constantly moving dense high-echo spots, leading to a high suspicion of acutely developing hemoperitoneum. Color Doppler sonography helped in detecting the rupture site by demonstrating a high-velocity jet flow from it. Although four of six patients were dead within 3 months, detection of the rupture site by color Doppler sonography made the initial transarterial embolization therapy easy and prompt. Received: 17 June 1997/Accepted: 6 August 1997
Keywords:: Ultrasound—  M-mode—  Doppler—  Liver tumor—  Rupture—  Ascites.
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