Abstract
Hepatocellular carcinoma (HCC) is common in areas with endemic viral hepatitis B or C. The incidence of spontaneous rupture of HCC is about 10% (1–3). Sponteneous rupture of HCC is a true life-threatening emergency condition in which patients present with abdominal pain, abdominal distention, and hypovolemic shock. It may occur as a terminal event in patients with advanced disease or may present in an otherwise healthy individual (4). Variations in clinical presentation pose a challenge to the clinician in view of the need for rapid diagnosis and management. In the case presented here, the patient considered himself to be active and in good health and was unaware of having the serious illness, HCC. The patient presented to our Emergency Department (ED) in hypovolemic shock requiring immediate resuscitation and, later, emergent transcatheter arterial embolization (TAE).
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