The patient is a 42-year-old male from China with a history of HBV. Due to pain in the right hypochondrium and hepatomegaly, an urgent CT scan was done, which revealed a mass in the right hepatic lobe measuring 110×130×160mm with associated haemoperitoneum (Fig. 1). During surgery, a ruptured mass was observed, with no ascites, peritoneal implants or cirrhosis. Right hepatectomy was performed without complications. The biopsy study showed that the mass was a hepatocarcinoma, stage pT3bNx. Fourteen days later, the patient was readmitted due to general malaise, at which time another CT study showed extension to the left liver, peritoneal implants and a large tumour thrombus that had contrast uptake in the arterial phase in the inferior vena cava and right atrium (Fig. 2).
Please cite this article as: Enjuto Martínez DT, Díaz Peña P, Fernández Merino J, Pérez Dávila M. Rotura de hepatocarcinoma y diseminación tumoral masiva precoz. Cir Esp. 2016;94:237.
