taneous rupture of adrenal tumor, such as pheochromocytoma, adrenal cortical carcinoma and adrenal myelolipoma. To the best of our knowledge, there has been only one case of adrenal metastatic tumor that caused spontaneous rupture (1). Because most extrahepatic hepatocellular carcinomas occur in patients with an advanced intrahepatic tumor stage, the first manifestation as spontaneous rupture o...