A Case of Spontaneous Rupture of a Hepatic Cavernous Hemangioma with Hemorrhage Temporarily Controlled by Transcatheter Arterial Embolization

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 39; no. 4; pp. 695 - 698
• Main Authors: Hamanaka, Kunio, Imoto, Katsuji, Murata, Kiyoshi, Itabashi, Kentaro, Sakamoto, Tsutomu, Yamasaki, Michio, Inoue, Akitoshi
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 31.05.2019; 日本腹部救急医学会
• Subjects: 動脈塞栓術; 肝海綿状血管腫; 腹腔内出血
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem.39.695

A 40-year-old man presented with sudden epigastralgia. Contrast enhanced CT examination revealed an exophytic large mass (11×10×8cm) with a fill-in pattern in the hepatic left lobe and a subcapsular hematoma with bloody ascites. We diagnosed a ruptured hepatic hemangioma and performed transcatheter arterial embolization(TAE) immediately. Angiography via the left hepatic artery demonstrated the patchy steins in the tumor to be compatible with hepatic hemangioma and A2 and A3 were embolized with gelatin sponge particles. A left hepatic lobectomy was performed on the eleventh day after TAE and a histopathological examination led to the diagnosis of a hepatic cavernous hemangioma. TAE is effective in the hemostasis for spontaneous rupture of hepatic hemangiomas and hepatectomy should be performed to obtain radical treatment and a histopathological diagnosis.