Spontaneous rupture of hepatocellular carcinoma (HCC) is a rare but life-threatening complication, presenting with acute abdominal pain and hemodynamic instability. This case report describes the clinical manifestations, diagnostic challenges, and management strategies employed in a patient with spontaneous rupture of HCC. The patient, with underlying cirrhosis, presented with signs of hemorrhagic shock. Immediate resuscitation, imaging, and subsequent embolization were performed to stabilize the patient, followed by definitive treatment. The rarity of this complication, combined with the precarious nature of the underlying liver disease, creates significant therapeutic challenges. This case underscores the need for rapid diagnosis and a multidisciplinary approach to optimize patient outcomes.
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Cruz et al. (2024) studied this question.
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