Spontaneous rupture of a necrotic hepatic angiosarcoma: findings on dual-phase computed tomography and angiography

Radiat Med. 2006 Jun;24(5):369-72. doi: 10.1007/s11604-006-0034-1.

Abstract

We present dual-phase computed tomographic (CT) and angiographic findings of a ruptured hepatic angiosarcoma. These tumors can be divided into two types: those with and those without gross central necrosis with hemorrhage. In our case, the tumor had gross central necrosis, and CT and angiographic findings showed a small number of areas with a centripetal enhancement pattern and the rest of the tumor with avascular areas. We found that dual-phase CT and angiographic findings are able to distinguish angiosarcoma, which mimics a hemangioma, as these lesions show avascular areas that reflect a mass with gross central necrosis.

Publication types

  • Case Reports

MeSH terms

  • Angiography / methods
  • Fatal Outcome
  • Hemangiosarcoma / diagnostic imaging*
  • Hemangiosarcoma / pathology
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / pathology
  • Male
  • Middle Aged
  • Necrosis
  • Radiography, Abdominal
  • Rupture, Spontaneous
  • Tomography, X-Ray Computed / methods*