Case ReportsSpontaneous Rupture of a Hepatic Cavernous Hemangioma A Rare Case of Sudden Unexpected DeathBel Hadj, Mariem MD∗; Marzougui, Mohamed MD∗; Ben Abdeljelil, Nouha MD†; Dhouieb, Rim MD∗; Zakhama, Abdelfattah PhD†; Chadly, Ali PhD∗Author Information From the Departments of ∗Forensic Medicine and Laboratory of Research LR12SP14 †Anatomopathologie and Cytology, Teaching Hospital Fattouma Bourguiba, University of Monastir, Monastir, Tunisia. Manuscript received December 19, 2019; accepted March 7, 2020. All authors disclose their associations with commercial entities that provided support for the work reported in the submitted manuscript, and that could be viewed as having an interest in the general area of the submitted manuscript. The authors report no conflict of interest. Reprints: Mariem Bel Hadj, Hopital Universitaire Fattouma Bourguiba a Monastir, 5000 Monastir, Tunisia. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: June 2020 - Volume 41 - Issue 2 - p 138-140 doi: 10.1097/PAF.0000000000000552 Buy Metrics Abstract Cavernous hemangiomas represent the most common benign tumors affecting the liver. They are more often asymptomatic and usually diagnosed through radiological examinations performed for other reasons. When there are symptomatic, they may cause digestive disorders such as abdominal pain, nausea, vomiting, or a palpable mass. Sudden death may occur as a result of rupture and bleeding. Spontaneous rupture of cavernous hepatic hemangioma is a rare complication, but the mortality rate is high. We report a rare case of sudden unexpected death of a 46-year-old woman due to a spontaneous rupture of a giant hepatic cavernous hemangioma discovered at autopsy. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.