Abstract
A 20-year-old female was hit in the abdomen with a soccer ball and had a checkup immediately in a nearby medical clinic because of epigastralgia and nausea. As computed tomography (CT) of the abdomen showed a hepatic tumor of 7 cm in diameter and hemorrhagic ascites, she was referred to our hospital. Our enhanced CT findings revealed that one part of the tumor capsule was disrupted and was suspected as the hemorrhage site caused by rupture of the tumor. The interior of the tumor showed low density and was enhanced at the early phase of the CT scan with contrast media. We performed an angiography, which showed no further bleeding. The patient underwent surgery four weeks after the injury. The extrahepatic pedunculated tumor was found to be connected to the liver (segment 4) only by the blood vessels. The pathological diagnosis was hepatic angiomyolipoma.
