自发性肝血管瘤破裂一例：单用肝动脉化疗栓塞治疗成功。A case of spontaneous hepatic hemangioma rupture: Successful management with transarterial chemoembolization alone.-医云文献数字医云科研云海量医学决策数据服务

Abstract：

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%.

摘要：

血管瘤是肝脏最常见的良性肿瘤。虽然自发破裂是罕见的，死亡率从60%到75%不等。文献中只报道了34例，只有一份报告单独使用经导管动脉栓塞（TAE）作为治疗。我们报告了一例自发性破裂的巨大肝血管瘤的“开花迹象”，表现为急性腹痛和休克，而血管瘤的体积和失血量相似。患者仅经肝动脉化疗栓塞（TACE）成功治疗，手术死亡率高达36.4%。