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Case Report
Spontaneous rupture of a giant liver hemangioma
1 MD, Specialist Radiology, Sohar Hospital, Sohar, Oman
2 MD, Consultant Interventional Neurovascular Radiologist, Sohar Hospital, Sohar, Oman
3 MD, Consultant Radiologist, Sohar Hospital, Sohar, Oman
Address correspondence to:
Jamila Omar Abdalla
MD, Specialist Radiologist, Sohar Hospital, Sohar, Al Batinah,
Oman
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Article ID: 101519Z01JA2025
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Abdalla JO, Al-Risi M, Tayfor M, Selim YAR. Spontaneous rupture of a giant liver hemangioma. Int J Case Rep Images 2025;16(2):35–39.ABSTRACT
Introduction: Liver hemangiomas are the most prevalent benign hepatic tumors, which are frequently found incidentally when imaging for other conditions. They typically do not have any symptoms and do not require treatment. However, spontaneous rupture is an uncommon but potentially deadly consequence that mostly affects large hemangiomas. The patient described in this case study had anemia and abdominal discomfort. He was diagnosed by computed tomography (CT) and managed successfully by transarterial embolization.
Case Report: We report on an 80-year-old man who was blind, known to have hypertension, old stroke, epilepsy, recurrent lower limb deep-vein thrombosis. He was on multiple medications for forementioned conditions and on oral anticoagulants. He presented to our emergency department with vomiting and abdominal discomfort for a few days. There was low hemoglobin (6.26 g/dL), increased lactate (9.17 mmol/L), low blood pressure (90/40 mmHg) and heart rate (80/min) at admission. A heterogenous low echoic liver mass and intra-abdominal free fluid was seen on bedside sonography. An intra-abdominal hemorrhage and a ruptured liver hemangioma with subcapsular hematoma were discovered by CT. After a CT scan, the patient experienced tachycardia with a heart rate (HR) of 150 beats per minute. Urgent transarterial embolization was done after stabilization. The patient was admitted under observation for 12 days following intervention and then discharged.
Conclusion: Spontaneously ruptured hepatic hemangiomas are quite uncommon which can be easily diagnosed by CT. Transarterial embolization may be an alternative management to surgery in certain instances of atraumatic, ruptured hepatic hemangiomas.
Keywords: Embolization, Liver hemangioma, Spontaneous rupture
SUPPORTING INFORMATION
Author Contributions
Jamila Omar Abdalla - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Maimouna Al-Risi - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohamed Tayfor - Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yasser AR Selim - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Jamila Omar Abdalla et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
