Frontiers in Surgery (Jul 2022)

Case report: Urgent liver pathologies: All in one

  • Goran Pavlek,
  • Ivan Romic,
  • Kristina Juzbasic,
  • Ana Marija Alduk,
  • Igor Petrovic,
  • Rudolf Radojkovic,
  • Dario Grbavac,
  • Hrvoje Silovski

DOI
https://doi.org/10.3389/fsurg.2022.940856
Journal volume & issue
Vol. 9

Abstract

Read online

Ruptured hepatocellular carcinoma (HCC) is a well-known serious complication of this most common primary liver malignancy. However, when HCC rupture is associated with other focal liver lesions, the diagnosis and therapy may be very challenging. Correct differentiation of focal liver lesions is of paramount importance for successful treatment. The aim of this report is to present a unique case of HCC rupture complicated with liver abscess, hematoma and portal vein thrombosis. We discuss possible pathophysiological mechanisms and radiologic findings of such clinical scenarios and review literature related to the management of HCC rupture.

Keywords