Spontaneous Rupture of Hepatocellular Carcinoma in a Healthy Liver: A Case Report

Spontaneous rupture of hepatocellular carcinoma (HCC) is a rare and potentially fatal complication with a poor prognosis. Its occurrence is increasing due to the high incidence of hepatocellular carcinoma. The mechanism of rupture is poorly understood. The clinical diagnosis is polymorphous and non-specific, but above all difficult to evoke it in subjects who are not known to be cirrhotic or to have hepatocellular carcinoma. The computed tomography scan remains the first choice for diagnosis. Initial stabilization of the patient remains the priority of emergency therapeutic management. The challenge of this complication is twofold: diagnosis and treatment. In this article, we report a case of spontaneous rupture of a hepatocellular carcinoma in a healthy liver.