%0 Journal Article
%T Hemoperitonium: Atypical Presentation Caused by Spontaneous Rupture of Hepatocellular Carcinoma in an Undiagnosed Patient
%A Youssef Abboud
%A Lalarukh Burki
%A Dalal Abdalkarim
%J Open Journal of Emergency Medicine
%P 77-84
%@ 2332-1814
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojem.2024.123010
%X <b>Introduction</b>: Acute hemoperitoneum due to the spontaneous rupture of hepatocellular carcinoma (HCC) is a rare case of non-traumatic intra-abdomen bleeding that requires a high index of suspicion to approach, especially if no known history of HCC. It can mislead the physicians when the patient presents in an atypical way. <b>Case</b> <b>Presentation</b>: In this case report, we describe a fortuitous rupture of hepatocellular carcinoma in a 58-year-old male who was not previously diagnosed as having HCC and who came with atypical symptoms and signs of hemoperitoneum. He was then treated by trans-arterial embolectomy. <b>Discussion</b>: Diagnosis of hemoperitoneum in a case with bradycardia and hypotension is uncommon, as it goes more towards cardiogenic shock than hypovolemic shock, especially in a patient who is previously not symptomatic and has no risk factor for hepatocellular carcinoma. <b>Conclusion</b>: physicians should be alert to the possibility of encountering a hemorrhagic shock, although no trauma injury in any hypotensive patient with no clear reason for his condition.
%K Hepatocellular Carcinoma
%K Rupture of HCC
%K Trans-Arterial Embolectomy
%K Hemoperitoneum
%K Liver Cancer
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=135965