Spontaneous Hepatic Hemangioma Rupture

Hepatic hemangiomas are congenital vascular malformations. These hemangiomas are the most common benign tumors of the liver and are often asymptomatic. Spontaneous rupture of hemangiomas have very high risk but occurs rarely. In spontaneous rupture, sudden abdominal pain, anemia, which is secondary to hemoperitoneum, and shock are observed. If the volume of hemangioma increases, then the risk of rupture also increases. The size of hemangiomas at which prophylactic surgery will be conducted varies depending on the clinics where the surgery will take place. Surgery is restricted to certain specific situations. In spontaneous or traumatic rupture with hemoperitoneum, intratumoral bleeding, and consumptive coagulopathy, there are certainly surgical indications. Hemangioma rupture must be kept in mind for the patient who has no known abdominal disease and presents with acute abdominal pain.