Aims: Show the importance of imaging in the diagnosis and follow up of Hepar Lobatum Carcinomatosum (HLC) in the context of a breast neoplasia. Presentation of case: We report a case of an episode of upper GI hemorrhage, in a 54 year old female patient, with chronic abdominal pain and asthenia. The CT scan showed a dysmorphic liver, with irregular contours, multiple capsular retractions, associated with abundant ascites. Discussion and Conclusion: HLC is defined as an acquired non-cirrhotic liver deformity secondary to liver metastases during a neoplasia, most often of the breast. The clinical presentations are not very specific and often late, and represented by signs of liver failure associated or not with portal hypertension in all its manifestations. Imaging in HLC, especially CT scan, shows similarities to a cirrhotic liver with hepatic dysmorphia, caudal lobe enlargement and segment IV atrophy. The presence of capsular retraction resulting in lobulated liver contours with reduced liver volume. It is therefore important to know the existence of this extensive form of secondary liver involvement and the set of complications that can arise.

Purpose: This case report aims to discuss the rare occurrence of spontaneous splenic rupture and the utility of CT scans in its diagnosis and management. Presentation of Case: A 58-year-old chronic smoker presented to the emergency department with sudden-onset abdominal pain. He was diagnosed with splenic rupture based on clinical presentation and imaging findings, including an enlarged spleen and abdominal fluid on CT scan. The patient underwent splenectomy, with histological examination confirming the diagnosis. Discussion: CT scan is a commonly used imaging technique in the diagnosis of splenic masses, providing a high resolution, cross-sectional view of the spleen and surrounding structures. The use of contrast agents enhances the differentiation between vascular and non-vascular lesions and improves the accuracy of diagnosis. Other imaging techniques such as ultrasound, MRI, and PET-CT may also be used. The treatment of splenic masses depends on the underlying etiology and the clinical status of the patient. Conclusion: The CT scan findings in this case suggest a splenic mass, which was confirmed to be a decapsulated spleen on histological examination after splenectomy. The use of imaging techniques such as CT scan is important in the diagnosis and management of splenic masses, aiding in preoperative planning and postoperative monitoring. Postoperative management of splenic rupture typically involves pain control, antibiotic therapy, and lifelong prophylactic antibiotics and vaccinations to reduce the risk of infection. This case report discusses a rare case of spontaneous splenic rupture and highlights the diagnostic and management utility of CT scans. The patient, a 58-year-old chronic smoker.