title: [A case of primary hepatic epithelioid hemangioendothelioma with spontaneous rupture].
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.
authors.affiliation: Department of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea.
authors.forename: Geum Ha
authors.initials: GH
authors.lastname: Kim
authors.forename: Yun Soo
authors.initials: YS
authors.lastname: Kim
authors.forename: Hyun Ok
authors.initials: HO
authors.lastname: Kim
authors.forename: Kil Hyun
authors.initials: KH
authors.lastname: Kim
authors.forename: Young Kul
authors.initials: YK
authors.lastname: Hung
authors.forename: Dong Hae
authors.initials: DH
authors.lastname: Jung
authors.forename: Jeong Ho
authors.initials: JH
authors.lastname: Kim
authors.forename: Oh Sang
authors.initials: OS
authors.lastname: Kwon
authors.forename: Duck Joo
authors.initials: DJ
authors.lastname: Choi
authors.forename: Ju Hyun
authors.initials: JH
authors.lastname: Kim
mesh_terms: D018952:Antigens, CD34 / Q000378:metabolism; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary; D003937:Diagnosis, Differential; D018323:Hemangioendothelioma, Epithelioid / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications / Q000175:diagnosis; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000556:secondary; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D018952:Antigens, CD34