Haemoperitoneum secondary to spontaneous rupture of liver tumour.


Saima Javed PARACHA 1, Anand JALIHAL 1, Pemasiri Upali TELISINGHE 2, Vui Heng CHONG 1.

Department of Medicine and Department of Pathology, RIPAS Hospital, Brunei Darussalam.



Hepatocellular carcinoma (HCC) is the most common primary tumour of the liver. Cholangiohepatocellular carcinoma (CHC) is less common and is a variant of HCC. There are many similarities with HCC with the exception that CHC tend to be more aggressive. We report a case of a 50-year-old man who was diagnosed with CHC and suddenly deteriorated secondary to hepatic tumour rupture. Despite aggressive supportive care, his condition rapidly deteriorated and died. Autopsy showed ruptured CHC.


Keywords: Cholangio-hepatocellular carcinoma, hepatocellular carcinoma, tumour rupture, chronic liver disease


Brunei Int Med J. 2011; 7 (3): 181-185


Correspondence author: Vui Heng CHONG, Department of Medicine, RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam. Tel: +673 2242424 Ext 5233 E mail: chongvuih@yahoo.co.uk