Spontaneous rupture of giant liver hemangioma: Case report

Krstina Doklestic, Branislav Stefanovic, Aleksandar Karamarkovic, Vesna Bumbasirevic, Branislava Stefanovic, Pavle Gregoric, Dejan Radenkovic, Djordje Bajec
2013 Srpski Arhiv za Celokupno Lekarstvo  
Introduction Hemangioma is the most frequent benign solid tumor of the liver. It is well known that a giant liver hemangioma carries the risk of spontaneous rupture, followed by hemoperitoneum and hemorrhagic shock with possible fatal outcome. Case Outline This is a case report of the spontaneous rupture of a giant cavernous hemangioma of the liver in an 85-year old patient. The patient was presented with abdominal pain and hemorrhagic shock. Emergency ultrasonography and computed tomography of
more » ... puted tomography of the abdomen showed a heterogeneous ruptured solid tumor of the right liver lobe, multiple cysts in the left lobe and massive hemoperitoneum. The patient was successfully managed by immediate exploratory laparotomy, surgical enucleation of the hemangioma under intermittent inflow vascular occlusion, temporary perihepatic packing and planned second look relaparotomy. Conclusion Immediate surgical procedure is indicated mandatory in unstable patients with a ruptured giant hemangioma of the liver. Surgical enucleation under intermittent inflow vascular occlusion and temporary perihepatic packing could be a life-saving procedure in those patients.
doi:10.2298/sarh1302095d pmid:23539918 fatcat:kktxfhptuvhutnyq3spqaivx2m