Intrapartum spontaneous rupture of liver hemangioma

Abstract

A 28-year-old pregnant woman presented at 35 weeks' gestation to obstetric triage with vague abdominal symptoms, stable vital signs and a non-reassuring fetal heart rate. During Cesarean section, intraperitoneal hemorrhage was noted, secondary to spontaneous rupture of a liver hemangioma. We present the perioperative management of a patient with liver hemangioma, along with a review of the literature.

Incidental Findings During Routine Antepartum Obstetrical Sonography

“…Cavernous hemangiomas are common, often asymptomatic, benign tumors of the liver composed of cavernous, endothelium-lined, bloodfilled channels. 8 Rupture during pregnancy 9 and labor 10,11 has been reported. The sizes of the reported ruptured hemangiomas were 2 cm 11 and 10 cm, 9 the larger of which resulted in maternal death.…”