Emergency caudate lobectomy for ruptured hepatocellular carcinoma with multiple primary cancers

Figure 1 Urgent computed tomography. A: Sagittal view; B: Transverse view. 1: A ruptured mass of 6 cm × 6 cm × 6 cm localized in the I hepatic segment; 2: Perisplenic hemoperitoneum; 3: A 5 cm × 5 cm × 5 cm mass abutting the ileocecus without lymph node enlargement. L: Left; P: Posterior.

Figure 2 Histopathology. A: Hepatocellular carcinoma (HCC) located in the caudate lobe [hematoxylin and eosin (HE), ×100]; B: Colonic metastasis of HCC (HE, ×100); C: Cancer embolus in the vessels surrounding the intestine (HE, ×100); D: Polyclonal hepatocyte antigen was positive by immunohistochemistry, ×100.