Work

Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma

Year: 2025

Type: article

Abstract: Background: Spontaneous rupture of the liver capsule secondary to the progression of hepatocellular carcinoma is a rare complication with high mortality. Case Description: This article presents the case of a 73-year-old male with no prior HCC diagnosis who presents acute abdominal pain and hemodynamic instability. Computed tomography reveals a heterogeneous liver lesion with capsular rupture and hemoperitoneum. Discussion: Management strategies focus on hemodynamic stabilization and bleeding control through transcatheter arterial embolization (TAE), surgical hemostasis or liver resection, the treatment selection is based on disease severity and patient condition. Conclusions: This case highlights the importance of considering HCC rupture in patients with acute abdominal pain and risk factors for liver disease, as early recognition and appropriate intervention significantly impact survival outcomes.

Source: Emergency Care and Medicine

DOI: 10.3390/ecm2010013

Authors: Haider Al Saadi, Reyam Al Zubaidi, Hervé O. Zender, Eric P. Heymann, Chiheb Said

Institutions: Hospital Neuchâtel, University of Geneva, University Hospital of Geneva, University of Bern, University Hospital of Bern

Language: English

Topic: Hepatocellular Carcinoma Treatment and Prognosis

Subfield: Hepatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,207