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?A?41-year-old?woman?with?blunt?abdominal?trau-ma?due?to?a?motor?vehicle?accident?presented?to?our?emergency?department.?The?patient?had?a?history?of?a?giant?hepatic?cavern-ous?hemangioma.?Emergency?exploratory?laparotomy?was?per-formed?for?suspected?intra-abdominal?bleeding?with?abdominal?compartment?syndrome,?and?more?than?4?liters?of?blood?and?blood?clots?were?removed.?An?active?bleeding?laceration?(5?cm)?of?a?hepatic?cavernous?hemangioma?was?detected?in?segment?III?of?the?liver.?The?bleeding?was?controlled?by?sutures,?Teflon?patches?and?tamponade.?The?abdomen?was?closed?temporarily?using?the?vacuum-assisted?method.?Because?of?the?presence?of?persistent? fresh? blood? through? abdominal? drainage? at? a? rate?of? >1? L/h,? splenectomy? was? performed? to? control? the? bleed-ing?again?by?sutures?and?Teflon?patches.?Finally,?the?abdomen?was?closed?using?a?biologic?mesh.?The?patient?was?discharged?home?30?days?after?trauma.?Bleeding?of?trauma-caused?hepatic?hemangioma?is?rare,?but?splenic?injury?due?to?blunt?abdominal?trauma?is?common.?An?in-depth?investigation?is?necessary?to?avoid?second?intervention.
