부산대학교 도서관

A 46-year-old man was seen at the department of gastroenterology in our hospital because of upper abdominal pain. Imaging methods revealed a 4 cm-sized hypovascular tumor with the heterogeneous center at the pancreas head and several nodular lesions in the liver. The pancreas tumor and the multiple nodules in the liver gradually increased in size, and on the 10th hospital day, the tumor at the pancreas head ruptured and was bleeding. Emergency hemostatic drainage was thus performed. The multiple nodules in the liver increased in size on the sixth postoperative day, and a nodule in the S3 ruptured and was bleeding. TAE was performed aiming at establishing temporal hemostasis and saving his life. He died of hepatic failure on the 10th postoperative day or on the 22nd hospital day. Based on autopsied findings, hepatic angiosarcoma was finally diagnosed.We present this rare case of hepatic angiosarcoma presented with a tumor of the pancreas head and was diagnosed with difficulties. Some bibliographic comments are presented as well.