Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2010  |  Volume : 16  |  Issue : 2  |  Page : 116-119

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


1 Department of Radiology, All India Institute of Medical Sciences, Delhi, India
2 Department of Gastro-intestinal Surgery, All India Institute of Medical Sciences, Delhi, India

Correspondence Address:
Vijay Ramachandran
Consultant Surgical Gastroenterologist, 9/130, Victoria College Road, Palakkad. Kerala- 678 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.61240

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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.


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