Spontaneous rupture of a giant hepatic hemangioma - sequential management with transcatheter arterial embolization and resection

• Main Authors: Jain Vaibhav, Ramachandran Vijay, Garg Rachana, Pal Sujoy, Gamanagatti Shivanand, Srivastava Deep
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2010-01-01
• Series: The Saudi Journal of Gastroenterology
• Subjects: Hemoperitoneum; giant hepatic hemangioma; liver tumor; transcatheter arterial embolization
• Online Access: http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2010;volume=16;issue=2;spage=116;epage=119;aulast=Jain

Hemangioma is the most common benign tumor of liver and is often asymptomatic. Spontaneous rupture is rare but has a catastrophic outcome if not promptly managed. Emergent hepatic resection has been the treatment of choice but has high operative mortality. Preoperative transcatheter arterial embolization (TAE) can significantly improve outcome in such patients. We report a case of spontaneous rupture of giant hepatic hemangioma that presented with abdominal pain and shock due to hemoperitoneum. Patient was successfully managed by TAE, followed by tumor resection. TAE is an effective procedure in symptomatic hemangiomas, and should be considered in such high risk patients prior to surgery.