TITLE

Spontaneous Rupture of a Giant Hepatic Hemangioma -- Sequential Management with Transcatheter Arterial Embolization and Resection

AUTHOR(S)
Jain, Vaibhav; Ramachandran, Vijay; Garg, Rachana; Pal, Sujoy; Gamanagatti, Shivanand R.; Srivastava, Deep N.
PUB. DATE
April 2010
SOURCE
Saudi Journal of Gastroenterology;Apr2010, Vol. 16 Issue 2, p116
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
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.
ACCESSION #
48988958

 

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