Abstract

Background: Hepatic bleeding tumors are rare. It is important to become familiar with CT images because they can create diagnostic issues. Delayed treatment could cause the death of the patient.
Case Presentation: A 42-year-old Chinese man was referred to the Emergency Room because of a trauma. One week later, he was readmitted to the Emergency Department for abdominal pain and signs of hemorrhagic shock. At this occasion, a CT scan is performed. The examination revealed the presence of intraabdominal bleeding with a liver hematoma and a liver bleeding mass. The patient had then surgery and a large bleeding hepatocellular carcinoma was resected.
Conclusion: We report an unusual case of a bleeding mass following a trauma. In case of mild trauma, the symptoms may be few and hemoperitoneum may not be present in the early phases. The patient may not have a CT scan or the CT scan can be difficult to interpret because of the presence of bleeding.

Key words: Hepatocellular carcinoma (HCC), hepatic hemorrhage, computed tomography (CT), case report