<prompt> Least common presentation of HCCPUOMassJaundiceWeakness  <response>: On rare occasions, HCC can present as a rupture with the sudden onset of abdominal pain followed by hypovolemic shock secondary to intraperitoneal bleeding Other rare presentations include hepatic vein occlusion Budd-Chiari syndrome, obstructive jaundice, hemobilia or fever of unknown originPUO Ref: Sabiston 20th edition Pgno : 1459 