Stabile Ianora Amato Antonio, Telegrafo Michele, Fucilli Fabio, Scardapane Arnaldo, Moschetta Marco
DIM - Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Bari, Italy.
DIM - Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Bari, Italy.
Int J Surg Case Rep. 2014;5(4):203-5. doi: 10.1016/j.ijscr.2013.12.007. Epub 2014 Feb 25.
Hepatic angio-sarcoma represents an uncommon malignant tumor of the liver with a poor prognosis and a high rate of bleeding complications.
We report a case of hepatic angio-sarcoma with a multi-nodular pattern complicated by intra-hepatic bleeding. The diagnosis was performed by computed tomography (CT). Angiographic procedure was unsuccessfully attempted as a treatment option. Autoptic examination confirmed the vascular nature of the malignant tumor.
Hepatic angio-sarcoma represents the most common malignant mesenchymal tumor of the liver. The diagnosis is provided by the histological examination and by specific endothelial markers. However, CT examination allows to recognize the disease and to detect intra-abdominal bleeding occurring in one-fourth of cases. Surgical resection represents the only definitive treatment of hepatic angio-sarcoma. In case of haemoperitoneum, trans-catheter arterial embolization represents the primary procedure used to stop the acute arterial bleeding.
CT represents the reference technique for the diagnosis of hepatic angio-sarcoma and allows to recognize the intra-abdominal bleeding which represents its most common complication. This condition always requires an immediate therapeutic approach.
肝血管肉瘤是一种罕见的肝脏恶性肿瘤，预后较差，出血并发症发生率高。
我们报告一例多结节型肝血管肉瘤并发肝内出血的病例。通过计算机断层扫描（CT）进行诊断。尝试采用血管造影术作为治疗选择，但未成功。尸检证实了恶性肿瘤的血管性质。
肝血管肉瘤是肝脏最常见的恶性间叶性肿瘤。通过组织学检查和特定的内皮标志物进行诊断。然而，CT检查有助于识别该疾病，并检测出四分之一病例中发生的腹腔内出血。手术切除是肝血管肉瘤唯一的确定性治疗方法。发生血腹时，经导管动脉栓塞术是用于止血的主要方法。
CT是诊断肝血管肉瘤的参考技术，有助于识别腹腔内出血，腹腔内出血是其最常见的并发症。这种情况总是需要立即采取治疗措施。
