17th July 2020

A 62-year-old man with a history of HCC presents to A&E with a suddenly increasing RUQ pain and jaundice

A 62-year-old man with a history of hepatocellular carcinoma (HCC) presents to the ED with a suddenly increasing RUQ pain and jaundice. On examination there is gross hepatosplenomegaly, and shifting dullness is present. LFTs come back showing raised ALT, AST and ALP. His medical history also includes Factor V Leiden. 

Please select the SINGLE most likely diagnosis. Select ONE option from the list above.