PT - JOURNAL ARTICLE AU - Faisal M. Al-Mashat AU - Abdulrahman M. Sibiany AU - Rashid H. Kashgari AU - Abdulraouf A. Maimani AU - Asim O. Al-Radi AU - Ibrahim A. Balawy AU - Jamal Eldin A. Ahmad TI - Spontaneous rupture of hepatocellular carcinoma DP - 2002 Jul 01 TA - Saudi Medical Journal PG - 866--870 VI - 23 IP - 7 4099 - http://smj.org.sa/content/23/7/866.short 4100 - http://smj.org.sa/content/23/7/866.full SO - Saudi Med J2002 Jul 01; 23 AB - Hepatocellular carcinoma is the most common malignancy among males and the 7th among female patients in the Kingdom of Saudi Arabia. This is due to the endemicity of hepatitis B and hepatitis C. Spontaneous rupture of hepatocellular carcinoma is rare. We report 4 cases of spontaneous rupture of hepatocellular carcinoma. Initial control of bleeding was achieved surgically in 3 patients and by embolization in the 4th patient. All patients had very good hepatic reserve as reflected by Child-Pough scoring (A & B). We found that the incidence of ruptured hepatocellular carcinoma among 85 patients was 4.7%. The prognosis of this subgroup of patients is poor as reflected by the low median survival ranging from 6-16 weeks.