Intraperitoneal @entity548 due to spontaneous XXXX with particular reference to hepatic artery ligation.

@entity1 @entity82 @entity548 @entity96 @entity3459 @entity397 @entity490 @entity18767 @entity9384
During 1970-1976, 459 cases of primary @entity96 were admitted to the Department of Medicine, Siriraj Hospital, Thailand. Three hundred and two cases (66%) had associated @entity82 . Fifty-five cases or 12 per cent presented with @entity18767 from ruptured carcinomatous @entity9384 . In most of these, the presenting symptom were not dramatic and might be indistinguishable from other uncomplicated @entity96 . Only 2 cases presented as acute abdomen and 5 cases had severe @entity490 for short duration prior to admission. Peritonoscopy were performed routinely in all cases with @entity18767 except the two cases which presented as acute abdomen. Fifty cases or 91 per cent had associated @entity82 and the site of the @entity397 were visualized in 6 cases or 11.32 per cent. Fourteen @entity1 were treated conservatively with the mortality rate of 100 per cent. Eight @entity1 who presumably bled from @entity3459 were also treated conservatively with only 50 per cent mortality. Hepatic artery ligation was employed in 23 cases with 52 per cent mortality and @entity548 stopped in 95 per cent, as compare with other conventional surgical measure such as packing, suture and cauterization to control the @entity548 with 90 per cent mortality. Judging from our experience, hepatic artery ligation is of definite value for palliative treatment particularly in @entity1 with @entity18767 from ruptured @entity96 .
