Adult Primary Hepatic Sarcoma Presenting as a Chronic Expanding Hematoma

Key Points

• This report aims to highlight the distinction between primary hepatic sarcoma and benign hemorrhagic lesions in adults.
• Reported a rare case of undifferentiated sarcoma in an adult
• Described imaging characteristics that misled diagnosis
• Documented the occurrence of rupture and its implications.
• Primary hepatic sarcoma initially appeared as a chronic expanding hematoma
• The condition was difficult to differentiate from benign lesions
• The tumor ruptured, leading to significant clinical implications.