Abstract
An 87-year-old woman who underwent lateral segmentectomy of liver for hemangioma 30 years earlier had been diagnose with a hemangioma at the caudate lobe since 7 years earlier. The hemangioma did not show any increasing tendency. In February 2014, she had the sudden onset of chest pain without history of trauma and visited a previous hospital. A contrast-enhanced CT scan revealed leakage of contrast material from the hemangioma in the caudate lobe to the abdominal cavity. The patient was diagnosed with spontaneous rupture of the hepatic hemangioma and was transferred to our hospital. Hemostasis was achieved by transcatheter arterial embolization. The course was uneventful without any complications. We considered her to be at high risk of having bleeding again, but after giving informed consent, we determined not to perform hepatectomy due to high risk for operation. She was discharged from our hospital on the 15th postoperative day, and there were no further episodes of rupture at 12 months after the transcatheter arterial embolization.
Spontaneous rupture of hepatic hemangioma is rare. There have been no reports of only transcatheter arterial embolization without hepatectomy for ruptured hepatic hemangioma. We present a case and a review of the literature.
