Surgery Today

, Volume 33, Issue 6, pp 459–463

Hemoperitoneum from a Spontaneous Rupture of a Giant Hemangioma of the Liver: Report of a Case

  • Nicola Corigliano
  • Paolo Mercantini
  • Pietro Maria Amodio
  • Genoveffa Balducci
  • Salvatore Caterino
  • Giovanni Ramacciato
  • Vincenzo Ziparo

DOI: 10.1007/s10595-002-2514-z

Cite this article as:
Corigliano, N., Mercantini, P., Amodio, P. et al. Surg Today (2003) 33: 459. doi:10.1007/s10595-002-2514-z

Abstract

Hemangioma is the most common benign tumor of the liver and it is often asymptomatic. Spontaneous or traumatic rupture, intratumoral bleeding, consumption coagulopathy, and rapid growth are mandatory surgical indications. We report a case of giant hemangioma of hepatic segments II and III, which presented as hemoperitoneum, and were treated successfully with preoperative transcatheter arterial embolization (TAE) and hepatic bisegmentectomy. A PubMed Medline search has identified up to now 32 cases of spontaneous rupture of hepatic hemangioma in adults (age >14 years) without a history of trauma, including the present case. Twenty-seven out of these were reviewed. Sixteen (84.2%) of 19 tumors of known size were giant hemangiomas (mean diameter 14.8 cm; range 6–25). Twenty-two (95.7%) patients underwent surgery. Thirteen patients (59.1%) had a resection, 5 (22.8%) were sutured, and 4 (18.1%) underwent tamponade. Three (23%) out of the 13 resected patients died. Four patients (30.8%) underwent TAE prior to elective hepatic resection without any operative mortality. Among the 5 sutured patients, 2 (40%) died as well as 3 (75%) out of 4 patients who underwent tamponade. The mortality rate of all surgery patients was 36.4% (8/22).

Key words Giant hepatic hemangiomaHemoperitoneum

Copyright information

© Springer-Verlag Tokyo 2003

Authors and Affiliations

  • Nicola Corigliano
    • 1
  • Paolo Mercantini
    • 1
  • Pietro Maria Amodio
    • 1
  • Genoveffa Balducci
    • 1
  • Salvatore Caterino
    • 1
  • Giovanni Ramacciato
    • 1
  • Vincenzo Ziparo
    • 1
  1. 1.Department of Surgery “Pietro Valdoni”, Policlinico Umberto I, University of Rome “La Sapienza”, Viale del Policlinico 155, 00161 Rome, ItalyIT