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Journal of Trauma and Injury 2013;26(3):252-254.
Traumatic Rupture of a Hepatic Hemangioma
Ji Eun Sung, Sang Jun Park, Chang Woo Nam, Jae Chol Hwang, Young Min Kim
1Department of Surgery, Ulsan University Hospital and University of Ulsan College of Medicine, Ulsan, Korea. sjpark@uuh.ulsan.kr
2Department of Radiology, Ulsan University Hospital and University of Ulsan College of Medicine, Ulsan, Korea.
3Department of Pathology, Ulsan University Hospital and University of Ulsan College of Medicine, Ulsan, Korea.
간혈관종의 외상성 파열
성지은, 박상준, 남창우, 황재철1, 김영민2
울산대학교병원 외과학교실, 1영상의학과, 2병리과
Received: 9 August 2013   • Revised: 24 August 2013   • Accepted: 9 September 2013
Abstract
A hepatic hemangioma is the most frequent benign liver tumor. Once rupture occurs, the bleeding can barely be controlled by using conservative management or endovascular treatment. We report a case of traumatic hepatic hemangioma rupture. A 60-year-old man was referred to our hospital under cardiopulmonary cerebral resuscitation (CPCR). CPCR was continued for 16 minutes after his admission to the emergency room (ER). Computed tomography (CT) showed fluid accumulation in the peritoneal cavity with active contrast extravasation in the left lateral segment of the liver. Percutaneous transarterial embolization and massive transfusion were carried out. Embolization did not stop the bleeding, we decided on an exploration and then resected the lateral segment of the liver to control the bleeding. The specimen showed a ruptured hemangioma in the liver segment.
Key Words: Liver; Hemangioma; Hemoperitoneum


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