2000 Volume 11 Issue 9 Pages 451-455
The incidence of hemangioma is the highest of all benign liver tumors. Although subjective symptoms are rare, surgical treatment is considered only in symptomatic cases of giant tumors. We treated a 46-year-old male was admitted to our hospital with the rupture of a large cavernous hemangioma of the liver due to blunt abdominal trauma from a free-fall injury. Ultrasonography and computed tomography (CT) of the abdomen revealed intraabdominal bleeding in the left subphrenic space. Since the patient's vital signs were stable, we treated him conservatively. Subsequent enhanced CT, angiography, and MRI showed a ruptured hemangioma at the left lateral segment of the liver. Surgical intervention was conducted on hospital day 17. Pathological examination confirmed the ruptured cavernous hemangioma. Traumatic rupture of a hepatic cavernous hemangioma is surgery, the same as in spontaneous liver ruputure. In emergency cases, we consider it essential that careful diagnosis is vital using enhanced CT findings.
