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Obstetric Anesthesia
Anesthesia and Pain Medicine 2008;3(4):313-315.
Published online October 30, 2008.
Rupture of hepatic hemangioma during pregnancy : A case report
Junghee Ryu, Kum Suk Park, Il Young Cheong, Duk Kyung Kim, Sang Hwan Do, Jae Kwang Kim
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
2Department of Anesthesiology and Pain Medicine,Seoul National University Hospital, Seoul, Korea.
3Department of Anesthesiology and Pain Medicine, Kangwon National University Hospital, Chuncheon, Korea.
4Department of Anesthesiology and Pain Medicine, Konkuk University Hospital, Seoul, Korea.
We report a case of hepatic hemangioma rupture in a 36-year-old woman with a 34-week twin pregnancy. Hemangiomas are the most common benign tumors of the liver and most of them are small and asymptomatic. However, they can induce severe abdominal pain or fatal hemorrhage when ruptured spontaneously during pregnancy. Because of non-specific symptoms and the presence of the large gravid uterus during pregnancy, it is difficult to reach this diagnosis. Under spinal anesthesia, a cesarean section for twin delivery and removal of the hematoma in the abdominal cavity were performed. However, the source of active bleeding was not found during the operation. The spontaneous rupture of hepatic hemangioma was diagnosed after postoperative hepatic angiography and treated successfully by embolization of the left hepatic artery.
Key Words: cesarean section, embolization, hepatic hemangioma, pregnancy

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