Ruptured hepatocellular carcinoma

Case contributed by Dr Elshan Abdullayev

Presentation

Sudden abdominal pain for 3 days.

Patient Data

Age: 60 years
Gender: Female

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.

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.

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