title: Hemoperitoneum as a first manifestation of HCC with bleeding from ruptured aberrant vessel: a case report.
abstract: A young man presented with a history of abdominal pain and distension for 4 days. Diagnosis of spontaneous hemoperitoneum was made after clinical examination, abdominal USG and a diagnostic peritoneal tap. Emergency laparotomy revealed massive hemoperitoneum with extensive bilobar hepato-cellular carcinoma (HCC). A ruptured aberrant vessel communicating between the intercostal vessel and HCC in the liver had caused massive hemoperitoneum.
authors.affiliation: Department of Surgery (Unit - III), University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi.
authors.forename: Rajeev Kumar
authors.initials: RK
authors.lastname: Singh
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.forename: Shandip Kumar
authors.initials: SK
authors.lastname: Sinha
authors.forename: Tushar
authors.initials: T
authors.lastname: Mishra
authors.forename: Shyam Sunder
authors.initials: SS
authors.lastname: Pachisia
mesh_terms: D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000150:complications* / Q000601:surgery; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply / Q000150:complications* / Q000601:surgery; D008297:Male; D009389:Neovascularization, Pathologic; D012421:Rupture / Q000601:surgery