Intractable bleeding of ruptured hepatoma has worst prognosis because conservative treat-ment could not control the bleeding or because surgical therapy is difficult due to advanced cirrhosis or tumor. Transcatheter hepat6ic arterial embolization has been used effectively in controlling traumatic bleeding ＆ non-operative hepatoma. In ruptured hepatoma transcatheter hepatic arterial embolization could achieve not only bleeding control but also palliative treatment of hepatoma. We performed transcatheter hepatic arterial embolization in 26 cases of ruptured hepatoma from Mar, 1985 to Dec, 1988. The result are as follows. 1. Transcatheter hepatic arterial embolization was performed in 30 cases(5.7%) of ruptured hepatoma which included 4 cases of follow up loss among the 525 hepatoma patient. 2. All patients were over 40 years old. 3. Contrast extravasation was visualized in 4 cases (15%) 4. Nodular type of tumor with subcapsular exophytic growth was in 20 cases (77%) suspected as the site of rupture. 5. Successful bleeding control was achieved in 23 cases (88%) 6. 13 cases (50%) were died within 2 weeks. The causes of death are hepatic encephalopathy, shock and acute renal shut down. 7. The mean survival time of 9 cases survived more than one month but died thereafter was 3.2 months. 8. 3 cases with the survival of more than one year had subcapsular nodular tumor with no demonstrable portal vein invasion. Transcatheter hepatic arterial embolization is safe effective less invasive method for treat-ment of rupured hepatoma withmassive intraperitoneal bleeding. We conclude that transcatheter hepatic arterial embolization is life saving procedure ＆ treatment of choice for ruptured hepatoma.