A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone

Hemangioma is the most common benign hepatic tumor. Although spontaneous rupture is rare, the mortality rate ranges from 60 to 75%. Only 34 cases have been reported in the literature, with only one report using transcatheter arterial embolization (TAE) alone as treatment. We report a case of spontan...

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Main Authors: Yanyan Cao, Fu Xiong, Bin Xiong, Yong Wang, Feng Yuan, Yanqiao Ren, Chuansheng Zheng
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2019-08-01
Series:Journal of Interventional Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2096360219301048
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author Yanyan Cao
Fu Xiong
Bin Xiong
Yong Wang
Feng Yuan
Yanqiao Ren
Chuansheng Zheng
author_facet Yanyan Cao
Fu Xiong
Bin Xiong
Yong Wang
Feng Yuan
Yanqiao Ren
Chuansheng Zheng
author_sort Yanyan Cao
collection DOAJ
description Hemangioma is the most common benign hepatic tumor. Although spontaneous rupture is rare, the mortality rate ranges from 60 to 75%. Only 34 cases have been reported in the literature, with only one report using transcatheter arterial embolization (TAE) alone as treatment. We report a case of spontaneous rupture with “flowering sign” of a giant hepatic hemangioma, presenting with acute abdominal pain and shock, while the volume of the hemangioma and blood loss were similar. The patient was successfully managed by transarterial chemoembolization (TACE) alone, which has an operative mortality rate of up to 36.4%. Keywords: Hepatic hemangioma, Spontaneous rupture, Transarterial chemoembolization, Flowering sign
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publishDate 2019-08-01
publisher KeAi Communications Co., Ltd.
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spelling doaj.art-ab5f79f4011c4d478462ac200d6ac3a32022-12-22T03:05:52ZengKeAi Communications Co., Ltd.Journal of Interventional Medicine2096-36022019-08-0123131133A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization aloneYanyan Cao0Fu Xiong1Bin Xiong2Yong Wang3Feng Yuan4Yanqiao Ren5Chuansheng Zheng6Department of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaDepartment of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaDepartment of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaDepartment of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaDepartment of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaDepartment of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaCorresponding author.; Department of Interventional Radiology, Hubei Province Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Rd., Wuhan, Hubei Province, 430022, PR ChinaHemangioma is the most common benign hepatic tumor. Although spontaneous rupture is rare, the mortality rate ranges from 60 to 75%. Only 34 cases have been reported in the literature, with only one report using transcatheter arterial embolization (TAE) alone as treatment. We report a case of spontaneous rupture with “flowering sign” of a giant hepatic hemangioma, presenting with acute abdominal pain and shock, while the volume of the hemangioma and blood loss were similar. The patient was successfully managed by transarterial chemoembolization (TACE) alone, which has an operative mortality rate of up to 36.4%. Keywords: Hepatic hemangioma, Spontaneous rupture, Transarterial chemoembolization, Flowering signhttp://www.sciencedirect.com/science/article/pii/S2096360219301048
spellingShingle Yanyan Cao
Fu Xiong
Bin Xiong
Yong Wang
Feng Yuan
Yanqiao Ren
Chuansheng Zheng
A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone
Journal of Interventional Medicine
title A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone
title_full A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone
title_fullStr A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone
title_full_unstemmed A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone
title_short A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone
title_sort case of spontaneous hepatic hemangioma rupture successful management with transarterial chemoembolization alone
url http://www.sciencedirect.com/science/article/pii/S2096360219301048
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