Hepatocellular carcinoma complicated by spontaneous rupture

Abstract

The paper presents a clinical case of hepatocellular carcinoma complicated by rupture. The underlying disease was asymptomatic prior to the development of complications. Despite blood loss of about 30-35% of circulating blood volume, hemorrhagic shock dominated the clinical picture of the acute condition. Neoplasm of the left hepatic lobe with necrosis and rupture was diagnosed by means of videolaparoscopy. Final hemostasis was impossible without liver resection. The tumor was excised within healthy tissues (R0). The authors performed a literature review and analysis. The value of the clinical case is determined by its rare complication.