Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jun 8, 2017; 9(16): 752-756
Published online Jun 8, 2017. doi: 10.4254/wjh.v9.i16.752
Successful surgical resection of ruptured cholangiolocellular carcinoma: A rare case of a primary hepatic tumor
Shota Akabane, Takushiro Ban, Shunsaku Kouriki, Hiroyuki Tanemura, Haruhiro Nakazaki, Masayuki Nakano, Nobuaki Shinozaki
Shota Akabane, Takushiro Ban, Shunsaku Kouriki, Hiroyuki Tanemura, Haruhiro Nakazaki, Nobuaki Shinozaki, Department of Surgery, Shonan Fujisawa Tokushukai Hospital, Fujisawa City, Kanagawa 251-0041, Japan
Masayuki Nakano, Department of Diagnostic Pathology, Shonan Fujisawa Tokushukai Hospital, Fujisawa City, Kanagawa 251-0041, Japan
Author contributions: All authors contributed to the acquisition of the data and to the writing and revision of this manuscript.
Institutional review board statement: This case report was reviewed and approved by Shonan Fujisawa Tokushukai Hospital Institutional Review Board.
Informed consent statement: The patient has provided informed consent for the publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Shota Akabane, MD, Department of Surgery, Shonan Fujisawa Tokushukai Hospital, 1-5-1 Kandai Tsujido, Fujisawa City, Kanagawa 251-0041, Japan. akap.sh.3381@gmail.com
Telephone: +81-80-34641295 Fax: +81-426-745266
Received: January 17, 2017
Peer-review started: January 19, 2017
First decision: March 8, 2017
Revised: April 3, 2017
Accepted: April 23, 2017
Article in press: April 24, 2017
Published online: June 8, 2017
Processing time: 139 Days and 3 Hours
Core Tip

Core tip: Spontaneous rupture is one of the most fatal complications of hepatic tumors such as hepatocellular carcinoma. Here, we present a case of spontaneous rupture of a cholangiolocellular carcinoma (CoCC) that was successfully resected by radical surgery. Although CoCC is a rare primary hepatic tumor, it demonstrates certain specific clinical features, including a better prognosis than for other primary liver cancers, and thus should be distinguished from those other cancers. Moreover, CoCC can appear as a ruptured huge tumor, and when it does, radical hepatectomy can be an effective measure to achieve both absolute hemostasis and curability of tumors.