ANGIOSARCOMA OF THE LIVER AND THE SPLEEN COMPLICATED BY HEMOPERITONEUM AND CONSUMPTION COAGULOPATHY - TREATMENT BY ARTERIAL EMBOLIZATION AND CHEMOTHERAPY

We report a case of hepatic and splenic angiosarcoma in a 34 year-old man presenting with hemoperitoneum and consumption coagulopathy. Histo logical and immunohistological diagnosis was based on a biopsy specime n obtained through the transjugular route. Embolization via the spleni c artery for the most significant lesions and intravenous chemotherapy resulted in a partial response in the liver and splenic tumour masses and survival with a good quality of life. The initial complications r eoccurred after chemotherapy was stopped and death occurred after 15 m onths. The benefit of arterial embolization and chemotherapy in this r are and usually rapidly fatal disease should be assessed in other pati ents.