Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jul 13:9:918748.
doi: 10.3389/fmed.2022.918748. eCollection 2022.

Case Report: Spontaneous Rupture of Hepatic Hemangioma

Affiliations
Case Reports

Case Report: Spontaneous Rupture of Hepatic Hemangioma

Bing Pan et al. Front Med (Lausanne). .

Abstract

Background: Hepatic hemangioma (HH) is a congenital vasal malformation that seemed like the most probable benign liver neoplasm, composed of masses of blood vessels, which are anomalous in arrangement and size. In most cases, HH is asymptomatic, and patients have an excellent prognosis. According to research, the location and size of the mass are correlated with the symptoms and complications. Reports of spontaneous rupture of HH have been less reported in the literature. In this emergency condition, dynamic contrast-enhanced CT scanning, especially triple-phase computed tomography (CT) with delayed imaging, is preferred.

Case presentation: Here, we presented two middle-aged female patients with spontaneous rupture of HH in our hospital. Following an accurate diagnosis of enhanced CT and emergency surgery, patients recovered well and were discharged from the hospital.

Conclusion: Appropriate imaging studies, especially enhanced CT, and emergency surgery are indispensable for patients with spontaneous rupture of HH. As a surgeon, we need to pay attention to the asymptomatic patient with HH.

Keywords: emergency; hepatic hemangioma; intra-abdominal hemorrhage; spontaneous rupture; surgery.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Case 1: (A) Pre-operative imaging examination, (B) pathological findings, and (C) post-operative imaging review.
FIGURE 2
FIGURE 2
Case 2: (A) Pre-operative imaging examination, (B) pathological findings, and (C) post-operative imaging review.

References

    1. Donati M, Stavrou GA, Donati A, Oldhafer KJ. The risk of spontaneous rupture of liver hemangiomas: a critical review of the literature. J Hepatobiliary Pancreat Sci. (2011) 18:797–805. 10.1007/s00534-011-0420-7 - DOI - PubMed
    1. Jain V, Ramachandran V, Garg R, Pal S, Gamanagatti SR, Srivastava DN. Spontaneous rupture of a giant hepatic hemangioma - sequential management with transcatheter arterial embolization and resection. Saudi J Gastroenterol. (2010) 16:116–9. - PMC - PubMed
    1. Choi BY, Nguyen MH. The diagnosis and management of benign hepatic tumors. J Clin Gastroenterol. (2005) 39:401–12. - PubMed
    1. Leon M, Chavez L, Surani S. Hepatic hemangioma: what internists need to know. World J Gastroenterol. (2020) 26:11–20. 10.3748/wjg.v26.i1.11 - DOI - PMC - PubMed
    1. Bel Hadj M, Marzougui M, Ben Abdeljelil N, Dhouieb R, Zakhama A, Chadly A. Spontaneous rupture of a hepatic cavernous hemangioma: a rare case of sudden unexpected death. Am J Forensic Med Pathol. (2020) 41:138–40. 10.1097/PAF.0000000000000552 - DOI - PubMed

Publication types