Background
Hepatocellular carcinoma is associated with hepatitis viral infection, alcohol use, metabolic syndrome and non-alcoholic fatty liver disease. Pedunculated Hepatocellular carcinoma is a rare subtype, which can be further categorized by its presence or absence of a pedicle attaching it to the liver. Its histological classification, as well as its clinical staging, determines patient prognosis. We report a case of pedunculated hepatocellular carcinoma, which required careful pre-operative planning and extensive surgical intervention to achieve R0 resection.