Clin Exp Emerg Med.  2019 Jun;6(2):169-172. 10.15441/ceem.18.008.

Spontaneous hepatic haemangioma rupture and hemoperitoneum: a double problem with a single stage interventional radiology solution

Affiliations
  • 1Department of Imaging Diagnosis, Interventional Radiology Unit, E.O. Galliera Hospital, Genova, Italy. umberto.rossi@galliera.it
  • 2Department of Imaging Diagnosis, Diagnostic Radiology Unit, E.O. Galliera Hospital, Genova, Italy.

Abstract

Hepatic haemangioma is a congenital vascular malformation, considered the most common benign mesenchymal hepatic tumour. Spontaneous or traumatic rupture is the most severe complication. In case of rupture, surgical resection and enucleation, as a single therapy or after trans-arterial embolization are considered the treatments of choice. We report a case of spontaneous rupture of a hepatic haemangioma with massive hemoperitoneum successfully treated by percutaneous hepatic trans-arterial embolization and pelvic drainage alone.

Keyword

Liver; Hemangioma; Embolization; Hemoperitoneum; Drainage

MeSH Terms

Drainage
Hemangioma
Hemoperitoneum*
Liver
Radiology, Interventional*
Rupture*
Rupture, Spontaneous
Vascular Malformations
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