Spontaneous Rupture of the Intraperitoneal Metastatic Hepatocellular Carcinoma: a Case Report with Magnetic Resonance Imaging Findings
10.13104/imri.2018.22.3.177
- Author:
Hee Jeong KIM
1
;
Mi hyun PARK
Author Information
1. Department of Radiology, Dankook University Hospital, Chungnam, Korea. deepva@hanmail.net
- Publication Type:Case Report
- Keywords:
Carcinoma, hepatocellular;
Neoplasm seeding;
Rupture, spontaneous
- MeSH:
Abdomen, Acute;
Carcinoma, Hepatocellular;
Emergencies;
Hemoperitoneum;
Humans;
Liver;
Magnetic Resonance Imaging;
Mortality;
Neoplasm Seeding;
Rupture;
Rupture, Spontaneous
- From:Investigative Magnetic Resonance Imaging
2018;22(3):177-181
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intraperitoneal metastatic hepatocellular carcinoma (HCC) is uncommon. Although rare, it can spontaneously rupture and cause hemoperitoneum similar to primary HCC in the liver. We present a case of intraperitoneal metastatic HCC that had spontaneously ruptured and appeared as an irregularly margined hemorrhagic mass with T1 high and T2 dark signal intensities on magnetic resonance imaging. Ruptured HCC is a life-threatening emergency with high mortality rate. Spontaneously ruptured intraperitoneal metastatic HCC should be considered if a patient with a history of HCC presents with acute abdomen, although rare.
