A 26-year-old man had a massive intraabdominal hemorrhage from a hepatocellular adenoma (HCA).
[ncbi.nlm.nih.gov]
Tumor rupture leads to hemoperitoneum, with various degrees of blood loss, leading to severe abdominal pain accompanied by thirst, tachycardia, hypotension, diaphoresis, signs
[symptoma.com]
Kadowaki T, Hamada H, Yokoyama A, Ito R, Ishimaru S, Ohnishi H, et al: Hemoperitoneum secondary to spontaneous rupture of hepatic metastasis from lung cancer.
[karger.com]