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Clinical efficacy of contrast-enhanced ultrasonography (CEUS) in the diagnosis of ruptured hepatocellular carcinoma (HCC)

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Abstract

Purpose

To evaluate the role of contrast-enhanced ultrasonography (CEUS) in the diagnosis of ruptured hepatocellular carcinoma (HCC).

Methods

CEUS and angiography were performed in ten cases of ruptured HCC. We evaluated whether this technique allowed us to determine the bleeding point by observing an extravasation of contrast media into the ascites.

Results

In four of the ten cases, CEUS demonstrated an extravasation of Levovist into ascites. Angiography showed an extravasation of contrast medium in three of these four cases. In three of the remaining six cases, in which CEUS did not show the presence of contrast medium in ascites, angiography demonstrated an extravasation. In eight cases, it yielded cessation of bleeding. In two cases, embolization was not successful. The bleeding point was not determined by CEUS or angiography in one case.

Conclusion

CEUS allows us to differentiate active bleeding (presence of contrast medium in the ascites) from nonactive bleeding.

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Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, Nihon University Surugadai Hospital, 1-8-13, Kandasurugadai, Chiyoda-ku, Tokyo, 101-8309, Japan

    Naoki Matsumoto, Masahiro Ogawa, Hiroshi Nakagawara, Yoshikazu Hiroi, Toshiki Yamamoto & Yasuyuki Arakawa

  2. Center of Diagnostic Ultrasound, Red Cross Hospital, Akita, Japan

    Hideaki Ishida, Tomoya Komatsuda, Mamiko Yamada & Hitoshi Yagisawa

Authors
  1. Naoki Matsumoto
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  2. Masahiro Ogawa
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  3. Hiroshi Nakagawara
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  4. Yoshikazu Hiroi
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  5. Toshiki Yamamoto
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  6. Yasuyuki Arakawa
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  7. Hideaki Ishida
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  8. Tomoya Komatsuda
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  9. Mamiko Yamada
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  10. Hitoshi Yagisawa
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Corresponding author

Correspondence to Masahiro Ogawa.

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Cite this article

Matsumoto, N., Ogawa, M., Nakagawara, H. et al. Clinical efficacy of contrast-enhanced ultrasonography (CEUS) in the diagnosis of ruptured hepatocellular carcinoma (HCC). J Med Ultrasonics 34, 101–105 (2007). https://doi.org/10.1007/s10396-007-0136-0

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  • DOI: https://doi.org/10.1007/s10396-007-0136-0

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