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A Case of Hemoperitoneum after Intraarterial Urokinase Infusion for Acute Ischemic Stroke
Sung Koo Jung, M.D., Myung Chun Kim, M.D., Young Gwan Ko, M.D.
Department of Emergency Medicine, KyungHee University, Seoul, Korea

 

Although thrombolytic therapy is one of the most effective therapeutic option for acute ischemic stroke, hemorrhagic complication still remains major concern about its application. A patient with hemoperitoneum, who previously underwent thrombolytic therapy(intraarterial urokinase infusion, IAUK) for acute ischemic stroke was treated successfully with emergency transarterial embolization for rupture of hepatocellular carcinoma.

We present a rare case of rupture of hepatocellular carcinoma after intraarterial urokinase infusion for acute ischemic stroke with brief review of the literature.

Key Words: IAUK, Thrombolytic therapy, Acute ischemic stroke, Rupture of hepatocellular carcinoma