Ruptured hepatocellular carcinoma is not common, but when it occurs, it has a high mortality rate. The case report presents a 35year old negroid male, who is a chronic alcoholic and a chain cigarette smoker who was referred from a peripheral health centre to the Accident Department with a diagnosis of chronic liver disease with pulmonary tuberculosis. He was initially clinically stable,but was noticed to be gradually becoming paler. The findings of the autopsy showed massivehemoperitoneum, ruptured nodule of hepatocellular carcinoma, metastasis to the right and left lungs, macronodular liver cirrhosis, severe pallor and jaundice. The prognosis of survival was poor and it was due to an advanced stage of the disease and rupture of the tumour nodule which resulted into an uncontrollable massive hemoperitoneum anddeath.