Hemoperitoneum secondary to bleeding of a hepatic metastasis of testicular carcinoma

Testicular cancer is the most common type of cancer among young patients. At the moment of diagnosis, between 30% and 50% of them have developed metastases, which affect retroperitoneal lymph nodes and lungs especially. Hepatic compromise is rare and is associated with poor prognosis. Besides this, hepatic lesions can complicate with necrosis and overgrowth, a phenomenon that is mainly seen in primary lesions. Furthermore, bleeding of secondary lesions is very uncommon. We present a case of a patient with massive hemoperitoneum secondary to rupture of hepatic metastatic lesions of a primary testicular tumor.