Ruptured hepatoma: detection with lipiodol angiography
1Department of Diagnostic Radiology, Soonchunhyang University Hospital, Choongnam, Chunan, Korea.
Summary
Hemorrhage from ruptured hepatoma is dangerous, but Lipiodol angiography can help detect bleeding sites. This technique improves diagnosis when conventional angiography fails, aiding treatment decisions.
Area of Science:
- Hepatobiliary medicine
- Interventional radiology
Background:
- Hemorrhage from ruptured hepatoma is a life-threatening complication.
- Transcatheter arterial embolization (TAE) is a primary treatment for controlling such bleeding.
- Conventional angiography often fails to identify the precise bleeding source in ruptured hepatoma.
Observation:
- This report details two cases of ruptured hepatoma.
- Lipiodol angiography was utilized to visualize the bleeding site in both cases.
- The diagnostic capability of Lipiodol angiography was evaluated in these scenarios.
Findings:
- Lipiodol angiography successfully detected the bleeding site in both patients with ruptured hepatoma.
- This contrasts with the limitations of conventional angiography in identifying the hemorrhage source.
- The findings highlight the efficacy of Lipiodol in visualizing active bleeding from liver tumors.
Implications:
- Lipiodol angiography offers a valuable tool for diagnosing bleeding sites in ruptured hepatoma.
- Improved detection of bleeding can lead to more targeted and effective transcatheter arterial embolization.
- This technique may enhance patient outcomes by enabling prompt and accurate intervention.


