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A 31-year-old primigravida at 40 weeks of gestation sought care for onset of severe abdominal pain. Ultrasound revealed a moderate-to-marked amount of hypoechoic free fluid in abdomen. Emergency caesarean section was performed with no evidence of uterine rupture. Active hemorrhage came from a 2.5 cm-sized neoplasm in the right lobe of liver. Nodulectomy was performed and histology confirmed hepatocellular carcinoma. *Normal liver. Arrow—Bleeding neoplasm
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Scioscia, M., Noventa, M., Vitulo, A. et al. Spontaneous bleeding of hepatocellular carcinoma during pregnancy. Arch Gynecol Obstet 303, 279 (2021). https://doi.org/10.1007/s00404-020-05922-7
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DOI: https://doi.org/10.1007/s00404-020-05922-7