Management dilemma of hepatocellular carcinoma in pregnancy: a case report

  • Yaw Asante Awuku
  • Emmanuella Amoako
  • Dominic Oduro-Donkor
  • Joseph Adu

Abstract

Hepatocellular carcinoma is rarely associated with pregnancy and when it does there is poor prognosis for both the mother and the baby.There is paucity of evidence for best practice in hepatocellular carcinoma in pregnancy especially in the background of cirrhosis and decompensation. We present a 36 year old gravida 5 para 4 at 27 weeks gestation with hepatocellular carcinoma and main complaint of abdominal pain. She had chronic hepatitis B infection with hepatocellular carcinoma on a cirrhotic background. There were both clinical and laboratory features suggestive of liver decompensation. The pregnancy outcome was a fresh stillbirth with mother alive. This case report highlights the management dilemma of hepatocellular carcinoma in pregnancy on the background of decompensated liver cirrhosis and chronic hepatitis B infection.

Pan African Medical Journal 2016; 23

Author Biographies

Yaw Asante Awuku
Department of Medicine and Therapeutics, University of Cape Coast, Cape Coast, Ghana
Emmanuella Amoako
Department of Medicine and Therapeutics, University of Cape Coast, Cape Coast, Ghana
Dominic Oduro-Donkor
Department of Medicine and Therapeutics, University of Cape Coast, Cape Coast, Ghana
Joseph Adu
Department of Obstetrics and Gynaecology, University of Cap Coast, Cape Coast, Ghana
Published
2016-07-16
Section
Articles

Journal Identifiers


eISSN: 1937-8688