• Giancarlo Schiappacasse-Faúndes, Israel Díaz-Araneda, Patricio Vargas-Hudson, Marcelo Vivanco-Lacalle, and Guillermo Rencoret-Palma.
• Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
• Rev Med Chil. 2021 Apr 1; 149 (4): 635-640.

AbstractHepatocellular carcinoma (HCC) rupture is a rare complication, with a higher prevalence in countries of Asia and Europe. Its clinical manifestations can be nonspecific, from abdominal pain and bloating to hemodynamic involvement. We report a 70-year-old male patient with a history of chronic liver disease, presenting with an enlargement and ecchymosis of the scrotum, associated with abdominal bloating. The initial abdominal ultrasound study showed increased liquid content in the scrotal sac and regional edema. A CT of the abdomen and pelvis showed a liver mass with characteristics of hepatocellular carcinoma, associated with extensive hemoperitoneum that drained into the scrotal sac. The patient was treated with embolization of the right hepatic artery and later with surgical resection of the tumor mass, with a good clinical evolution.

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