Past Issue | Volume | Volume 7,Issue 11,Nov,2021
ADVANCED HEPATOCELLULAR CARCINOMA WITH RUPTURE: AN AUTOPSY CASE REPORT
Sam Ewune Kinako Boma Precious Athanasius
Abstract:-
Ruptured hepatocellular carcinoma is not common, but when it occurs, it has a high mortality rate. The case report presents a 35year old negroid male, who is a chronic alcoholic and a chain cigarette smoker who was referred from a peripheral health centre to the Accident Department with a diagnosis of chronic liver disease with pulmonary tuberculosis. He was initially clinically stable,but was noticed to be gradually becoming paler. The findings of the autopsy showed massivehemoperitoneum, ruptured nodule of hepatocellular carcinoma, metastasis to the right and left lungs, macronodular liver cirrhosis, severe pallor and jaundice. The prognosis of survival was poor and it was due to an advanced stage of the disease and rupture of the tumour nodule which resulted into an uncontrollable massive hemoperitoneum anddeath.
DEATH DUE TO RUPTURED LEFT TUBAL GESTATION: AN AUTOPSY CASE REPORT
Sam Ewune Kinako Izein Narugayam Claudius
Abstract:-
Tubal gestation can be complicated with rupture and in some instances lead to death, especially in cases with coexisting psychosocialhealth factors as was seen in the index case. We report a case of a twenty-five (25) year old lady with her last menstrual period occurring ten (10) weeks prior to sudden onset of severe lower abdominal pain which made herimmediately proceed to an unapproved medical centre been managed by an unlicensed drug dispenser for medications for a period of two (2) days.On the second day, she was advised by her friends to seek proper medical attention elsewhereand she opted for aGovernment owned Hospital located two hundred (200) metres away from her residence when compared to the unapproved medical centre she was initially receiving medications in. She arrived the emergency unit of the Government owned Hospital by an ambulance andon examination she was afebrile, conscious and severely pale. She died prior to the onset of the surgery and few minutes after admission. The autopsy examination showed corpus luteum of pregnancy, ruptured left tubal gestation, massive hemoperitoneum and acute tubular necrosis. The cause of death is massive hemoperitoneum secondary to ruptured left tubal gestation.
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