Case 101:   Hepatocellular Carcinoma (HCC)

Diagnostic Category:

Clinical Presentation:

67 year old man with cirrhosis presents with jaundice and abdominal pain.

CT: Ruptured HCC with hemoperitoneum

Imaging Findings:

Multiphase CT reveals a large mass in the left lobe with typical mosaic architecture (i.e. compartments of variable enhancement in random distribution) and delayed washout. Cortical discontinuity of the mass and high density peritoneal fluid suggest rupture with hemoperitoneum. Surgical pathology following left partial liver resection of the mass confirmed moderately differentiated hepatocellular carcinoma.