n Obstetrics and Gynaecology Forum - Hepatocellular carcinoma in pregnancy : a case report and evaluation of current management trends - case report

Volume 29 Number 3
  • ISSN : 1029-1962


Background: Hepatocellular carcinoma (HCC) is one of the leading global causes of mortality. However, it is rarely seen in pregnancy. The prognosis of HCC in pregnant women is relatively poor for both mother and child.

Case: We present a case of a 36 year old woman at 36 weeks of gestation with jaundice and hepatomegaly. She was hepatitis B positive. The patient delivered a neonate of 2.040kg, however her condition worsened. She was subsequently diagnosed with HCC and became severely jaundiced, hypotensive and tachycardic with metabolic acidosis.

Conclusion: HCC was diagnosed late in gestation and the patient had a poor outcome. Early diagnosis and management of HCC may have resulted in a better prognosis.

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