Presentation
Sudden abdominal pain for 3 days.
Patient Data
Age: 60 years
Gender: Female
From the case:
Ruptured hepatocellular carcinoma
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Ruptured tumor in liver segment VII with hemorrhage in the perihepatic space.
The liver is cirrhotic with multiple regenerative nodules.
As an additional finding, there is sludge in the gallbladder and gallstones.
From the case:
Ruptured hepatocellular carcinoma
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Hemorrhagic fluid collection is seen in the perihepatic space correlating to the MRI findings.
Case Discussion
Due to cirrhotic liver, the liver mass is almost certainly a hepatocellular carcinoma (HCC). Rupture of HCC is a rare situation, and needs to be treated as an emergency.