Cao Yanyan, Xiong Fu, Xiong Bin, Wang Yong, Yuan Feng, Ren Yanqiao, Zheng Chuansheng
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 China.
J Interv Med. 2019 Sep 14;2(3):131-133. doi: 10.1016/j.jimed.2019.09.014. eCollection 2019 Aug.
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%.
肝血管瘤是最常见的肝脏良性肿瘤。虽然自发性破裂罕见，但死亡率在60%至75%之间。文献中仅报道了34例，仅有一篇报道单独使用经导管动脉栓塞术（TAE）作为治疗方法。我们报告一例巨大肝血管瘤自发性破裂伴“开花征”的病例，患者表现为急性腹痛和休克，血管瘤体积和失血量相近。该患者仅通过经动脉化疗栓塞术（TACE）成功治疗，而该手术的死亡率高达36.4%。
