Abstract:
Hepatocellular carcinoma (HCC) is a common malignancy of the liver. It is frequently diagnosed in the male gender with
a racial predilection towards Asian and African populations. In addition to distant metastasis, large tumors can result in
direct extrahepatic metastasis to the peritoneum and diaphragm through rupture of exophytic tumor hepatocellular carcinoma
in peritoneal cavity. We report a case of a 55-year-old male having hepatocellular carcinoma secondary to hepatitis C with
peritoneal metastasis. The CT abdomen with contrast triphasic study was suggestive of alarming features of chronic liver
disease with multicentric hepatoma formation predominantly in segment VIII with the localized subcapsular collection.
Additionally, an extensive omental thickening and nodularity were also seen in subhepatic space. Multiple nodules were
seen in right cardiophrenic angle, right lower abdomen, and rectovesical pouch. In contrast to conventional chemotherapy
with sorafenib, cytoreduction surgery with hyperthermic intraperitoneal chemotherapy has been shown to dramatically
improve survival in patients.
