Hemoperitoneum and giant hepatic hematoma secondary to nasal melanoma metastases

Nontraumatic hepatic haemorrhage is a rare emergency situation (< 1 %) that requires rapid diagnosis and treatment. Hepatocarcinoma and adenoma are the most common causes representing metastatic lesions a very small percentage. CT angiography is the gold standard to establish the diagnosis, allowing ruling out active bleeding. We report the case of a 58-year-old male presented at our emergency department with abdominal pain and a palpable mass in the epigastrium without a traumatic history or another clinic.