Hemoperitoneum Secondary to Spontaneous Hepatic Artery Hemorrhage: A Case Report

Spontaneous hepatic hemorrhage (SHH) is a rare condition that usually occurs secondary to a neoplastic process such as hepatocellular carcinoma. We present the case of a 71-year-old male with no history of trauma or malignancy presenting to our facility with a complaint of abdominal pain. Computed tomography scans showed hemoperitoneum, a suspected aneurysmal dilatation of a branch of the left hepatic artery, and contrast extravasation from the artery. Urgent angiography and embolization of the bleeding vessels were done successfully. Herein, we review the case as well as the relevant literature on spontaneous hepatic hemorrhage and visceral artery aneurysms.