A case of hepatocellular carcinoma with hepatic subcapsular hematoma

Abstract

A 70-year-old man with right hypochondrium pain was seen at a neighborhood hospital in October, 2009. He was hospitalized that day because of a tumor with hematoma in the liver detected by CT scan. His condition was stable with conservative management of the liver tumor and hematoma, and he was referred to our hospital in January, 2010. Hepatitis B virus and hepatitis C virus markers were negative, and serum tumor markers were elevated. Abdominal CT scan indicated the mass lesion to be a hepatocellular carcinoma (HCC) with hematoma, and hepatectomy was performed. The resected tumorous specimen was 5 cm in diameter. Histopathology was poorly differentiated HCC. He was discharged from our hospital on postoperative day 20. Ruptured HCC within a subcapsular hematoma is relatively rare. We describe the present case with reference to the literature.