J Korean Soc Radiol.  2017 Jul;77(1):57-60. 10.3348/jksr.2017.77.1.57.

Hemothorax Caused by Spontaneous Rupture of Hepatocellular Carcinoma in the Pleural Cavity: A Case Report

  • 1Department of Radiology, Chungnam National University Hospital, Daejeon, Korea.
  • 2Department of Radiology, Chungnam National University School of Medicine, Daejeon, Korea. michelan@cnu.ac.kr


Hemothorax resulting from ruptured hepatocellular carcinoma (HCC) is extremely rare and is generally caused by ruptured intrathoracic metastatic lesions. However, we report a rare case of hemothorax resulting from intrathoracic rupture of primary HCC.

MeSH Terms

Carcinoma, Hepatocellular*
Embolization, Therapeutic
Multidetector Computed Tomography
Pleural Cavity*
Rupture, Spontaneous*


  • Fig. 1 Hemothorax caused by spontaneous rupture of hepatocellular carcinoma in the pleural cavity in a 51-year-old male. A. Frontal chest radiograph shows complete white out of the right hemithorax with mediastinal shifting to the left side. B. C. Contrast-enhanced chest CT. Coronal image (B) obtained at the onset of shortness of breath demonstrates that a large hepatocellular carcinoma has invaded the right diaphragm (arrows) and the right pleural cavity. Axial CT image (C) shows that the surface of the intrapleural portion of the tumor is irregular and ruptured (arrows).


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