Rotura espontánea como forma de presentación de carcinoma hepatocelular no conocido: a propósito de un caso

Hepatocellular carcinoma is the sixth most common neoplasm in the world and the third cause of death among cancer patients. Mortality in patients with this condition is mainly due to tumor cachexia, liver failure and spontaneous tumor rupture. This report describes the clinical case of a 69-year-old male patient who attended the hospital emergency department complaining of sudden onset abdominal pain located in the epigastrium and vomiting with a tendency to hypotension. The patient had to undergo emergency surgery due to the rupture of a previously unknown hepatocellular carcinoma. In addition to the clinical description of the case, this study presents a discussion on the possibilities of therapeutic management of this kind of patients based on the international literature on the matter.