The liver is the most commonly injured organ in blunt abdominal trauma, and liver trauma is the leading cause of death in abdominal injuries. Liver trauma is associated with high morbidity and mortality, hence thediagnosis and clinical assessment of hepatic trauma play an important role in the management of abdominal liver trauma. Although it is only suitable for patients with stable hemodynamic status, computed tomography(CT scan) is the gold standard for evaluating patients with blunt abdominal trauma, because it can acquire high quality images quickly. For these stable patients, nonsurgical management or endovascular intervention has become the treatment of choice in the majority of liver injuries.

Embolization or sclerotherapy is considered as the first-line therapy for the management of arteriovenous malformations (AVM) and can be performed directly targeting the nidus. Ethanol is an effective embolic agent; however, some complications may arise. This paper illustrates a case of torrential bleeding following ethanol sclerotherapy in a patient with progressive hand arteriovenous malformations with a poor prognosis and was suggested to be amputated. Direct pressure, tourniquet appliance, and split-thickness skin graft procedure were performed to stop the bleeding successfully. No recurrence of bleeding was reported; and complete alleviation of pain was achieved.

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