A 65-year-old man with a history of untreated chronic hepatitis B was admitted after losing consciousness from abdominal pain due to a rupture of hepatocellular carcinoma (HCC), leading to hemorrhagic shock.
He underwent emergency transarterial embolization (TAE) to control bleeding and later had a successful lateral segmentectomy, revealing moderately differentiated HCC.
After a recurrence of abdominal pain and a new diagnosis of disseminated HCC, he received a second TAE and was placed on sorafenib, managing to survive for 8 months post-treatment.