A case of primary hepatic epithelioid hemangioendothelioma with spontaneous rupture.
10.3350/kjhep.2009.15.4.510
- Author:
Geum Ha KIM
1
;
Yun Soo KIM
;
Hyun Ok KIM
;
Kil Hyun KIM
;
Young Kul HUNG
;
Dong Hae JUNG
;
Jeong Ho KIM
;
Oh Sang KWON
;
Duck Joo CHOI
;
Ju Hyun KIM
Author Information
1. Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. kimys@gilhospital.com
- Publication Type:Case Report ; English Abstract
- Keywords:
Hepatic epithelioid hemangioendothelioma;
Spontaneous rupture
- MeSH:
Antigens, CD34/metabolism;
Bone Neoplasms/diagnosis/secondary;
Diagnosis, Differential;
Hemangioendothelioma, Epithelioid/*diagnosis/pathology/ultrasonography;
Humans;
Liver Cirrhosis, Alcoholic/complications/diagnosis;
Liver Neoplasms/*diagnosis/pathology/ultrasonography;
Male;
Pancreatic Neoplasms/diagnosis/secondary;
Rupture, Spontaneous;
Tomography, X-Ray Computed
- From:The Korean Journal of Hepatology
2009;15(4):510-516
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary hepatic epithelioid hemangioendothelioma is a rare neoplasm of endothelial origin. The clinical manifestations are nonspecific, ranging from complete absence of symptoms to hepatic failure and death. Spontaneous rupture of a hepatic epithelioid hemangioendothelioma is an extremely rare presentation. We present a case of primary hepatic epithelioid hemangioendothelioma in a 65-year-old male patient with alcoholic liver cirrhosis. He was hospitalized due to epigastric pain and multiple liver masses on abdominal ultrasound. Dynamic liver CT imaging revealed multiple peripheral nodular enhanced mass lesions with delayed centripetal enhancement, and the adjacent collection of high-attenuation fluid along the liver capsule. Abdominal tapping revealed blood in the peritoneal cavity. Primary hepatic epithelioid hemangioendothelioma with spontaneous rupture was finally diagnosed based on a histopathologic examination revealing positive immunohistochemical staining for CD34.
