CT Features of Hemorrhagic Malignant Liver Tumors

Hepatic Subcapsular Hematoma Secondary to Intrahepatic Pseudoaneurysm Following Cholecystectomy

“…Subcapsular fluid accumulation is a rare event and hematoma is one of the causes, usually attributed to trauma, hemorrhage Springer from a tumor, liver biopsy, or pregnancy [8][9][10]. It has occasionally been reported following cholecystectomy, but the pathogenesis in such cases is obscure [11,12].…”

“…This was what we hoped to do initially, because our patient did not have a hemoperitoneum. However, if necessary, the hematoma can be evacuated surgically or by CT-guided drainage [8,9,11,12]. Indeed, because of the patient's persistent abdominal pain, drainage was thought to be necessary.…”

Computed tomographic findings of ruptured hepatic malignancy

“…Predisposing factors of spontaneous hepatic hemorrhage include hepatic neoplasms [1,2], eclampsia [9], pregnancy [10], collagen vascular disease [11,12], and long-term hemodialysis [13].…”

“…We report our experience in three cases of ruptured hepatocellular carcinoma diagnosed by computed tomography (CT). CT was useful in detecting ruptured hepatocelluar carcinoma showing the parenchymal tumor per se, defining the extent of the hematoma, and showing serial density changes with the age of the hematomas.Hepatocellular carcinoma is a predisposing factor of spontaneous hepatic hemorrhage [1,2]. In Asia and Africa approximately 10% of patients with hepatocellular carcinoma present with massive hemoperitoneum due to rupture of tumor [3,4].…”

“…Hepatocellular carcinoma is a predisposing factor of spontaneous hepatic hemorrhage [1,2]. In Asia and Africa approximately 10% of patients with hepatocellular carcinoma present with massive hemoperitoneum due to rupture of tumor [3,4].…”