A 40-year-old lady had pain in the upper abdomen while eating meals. She was investigated by a gastroenterologist who did a USG which showed a Tumor /cancer of the liver (HCC) in the left lobe. The upper GI scope showed a hiatus hernia with external compression on the stomach. She was referred to us for a liver Resection ( HPB and Liver Transplant Surgeon). A PET scan revealed no other metastasis first performed Esophageal manometry which ruled out any need for fundoplication. She underwent a left hepatectomy. The postop course was uneventful. There was no bile leak. The patient was discharged on Postop day 8.
Surgical Management of Hepatocellular Carcinoma (HCC) with Hiatus Hernia
Patient Information:
Patient Profile:
- Age: 40 years
- Gender: Female
Presenting Complaint:
- Pain in the upper abdomen while eating meals
Diagnostic Imaging:
- Ultrasonography (USG) revealed a tumor/cancer of the liver, possibly HCC, in the left lobe.
- Upper GI endoscopy showed a hiatus hernia with external compression on the stomach.
- A PET scan revealed no other metastasis.
A 40-year-old lady had pain in the upper abdomen while eating meals. She was investigated by a gastroenterologist who did a USG which showed a Tumor /cancer of the liver (HCC) in the left lobe. The upper GI scope showed a hiatus hernia with external compression on the stomach. She was referred to us for a liver Resection ( HPB and Liver Transplant Surgeon). A PET scan revealed no other metastasis first performed Esophageal manometry which ruled out any need for fundoplication. She underwent a left hepatectomy. The postop course was uneventful. There was no bile leak. The patient was discharged on Postop day 8.
This case highlights the successful surgical management of HCC in the setting of a hiatus hernia. The multidisciplinary approach involving gastroenterology, oncology, and liver surgery ensured appropriate diagnosis, staging, and treatment, leading to a positive outcome for the patient. Regular follow-up and monitoring are essential to detect any recurrence or new metastases. If you or your loved ones are diagnosed with Liver cancer then consult our expert at Cloverleaf Speciality Clinic Wakad, Pune.