Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma
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 hemodynam...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-03-01
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| Series: | Emergency Care and Medicine |
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| Online Access: | https://www.mdpi.com/2813-7914/2/1/13 |
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| author | Haider Al Saadi Reyam Al Zubaidi Hervé O. Zender Eric P. Heymann Chiheb Said |
| author_facet | Haider Al Saadi Reyam Al Zubaidi Hervé O. Zender Eric P. Heymann Chiheb Said |
| author_sort | Haider Al Saadi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-cabfc45d05244761a8e315166089fb4a |
| institution | DOAJ |
| issn | 2813-7914 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Emergency Care and Medicine |
| spelling | doaj-art-cabfc45d05244761a8e315166089fb4a2025-08-20T02:42:46ZengMDPI AGEmergency Care and Medicine2813-79142025-03-01211310.3390/ecm2010013Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular CarcinomaHaider Al Saadi0Reyam Al Zubaidi1Hervé O. Zender2Eric P. Heymann3Chiheb Said4Emergency Department, Cantonal Hospital of Neuchâtel, 2000 Neuchâtel, SwitzerlandInternal Medicine Department, Cantonal Hospital of Neuchâtel, 2300 La Chaux-de-Fonds, SwitzerlandInternal Medicine Department, Cantonal Hospital of Neuchâtel, 2300 La Chaux-de-Fonds, SwitzerlandEmergency Department, Cantonal Hospital of Neuchâtel, 2000 Neuchâtel, SwitzerlandInternal Medicine Department, Cantonal Hospital of Neuchâtel, 2300 La Chaux-de-Fonds, SwitzerlandBackground: 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.https://www.mdpi.com/2813-7914/2/1/13abdominal painhemoperitoneumhemorrhagic shockacute abdomenhepatocellular carcinomaspontaneous capsule rupture |
| spellingShingle | Haider Al Saadi Reyam Al Zubaidi Hervé O. Zender Eric P. Heymann Chiheb Said Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma Emergency Care and Medicine abdominal pain hemoperitoneum hemorrhagic shock acute abdomen hepatocellular carcinoma spontaneous capsule rupture |
| title | Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma |
| title_full | Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma |
| title_fullStr | Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma |
| title_full_unstemmed | Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma |
| title_short | Abdominal Pain Due to Liver Capsule Rupture: A Rare but Fatal Complication of Hepatocellular Carcinoma |
| title_sort | abdominal pain due to liver capsule rupture a rare but fatal complication of hepatocellular carcinoma |
| topic | abdominal pain hemoperitoneum hemorrhagic shock acute abdomen hepatocellular carcinoma spontaneous capsule rupture |
| url | https://www.mdpi.com/2813-7914/2/1/13 |
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