J Korean Soc Traumatol.
2013 Sep;26(3):252-254.
Traumatic Rupture of a Hepatic Hemangioma
- Affiliations
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- 1Department of Surgery, Ulsan University Hospital and University of Ulsan College of Medicine, Ulsan, Korea. sjpark@uuh.ulsan.kr
- 2Department of Radiology, Ulsan University Hospital and University of Ulsan College of Medicine, Ulsan, Korea.
- 3Department of Pathology, Ulsan University Hospital and University of Ulsan College of Medicine, Ulsan, Korea.
Abstract
- A hepatic hemangioma is the most frequent benign liver tumor. Once rupture occurs, the bleeding can barely be controlled by using conservative management or endovascular treatment. We report a case of traumatic hepatic hemangioma rupture. A 60-year-old man was referred to our hospital under cardiopulmonary cerebral resuscitation (CPCR). CPCR was continued for 16 minutes after his admission to the emergency room (ER). Computed tomography (CT) showed fluid accumulation in the peritoneal cavity with active contrast extravasation in the left lateral segment of the liver. Percutaneous transarterial embolization and massive transfusion were carried out. Embolization did not stop the bleeding, we decided on an exploration and then resected the lateral segment of the liver to control the bleeding. The specimen showed a ruptured hemangioma in the liver segment.
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