Bleeding esophageal varices were seen on endoscopy. Ultrasound showed portal vein occlusion. CT scan revealed a mass in the right lobe of the liver. An ultrasound guided biopsy of the mass was performed, and the pathologist diagnosed hepatocellular carcinoma . Compassionate care was instituted, and he died 11 days later.
Tumour invades intrahepatic branches of the portal vein.
Tumour is present in the portal vein at the hilum of the liver. In the upper right, there is a nodule of hepatocellular carcinoma, with cirrhotic liver in the lower left. Well-differentiated hepatocellular carcinoma with bile production.