HighlightsRuptured hepatocellular carcinoma is associated with a significant morbidity and very high mortality rate.Epigastric pain with hypovolaemic shock in addition to a raised serum alpha-fetoprotein can be suggestive of ruptured hepatocellular carcinoma.One staged laparoscopic surgery can be considered among hemodynamically stable candidates with no ongoing bleeding and good functional liver reserve.
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