Document Type
Article
Original Publication Date
2015
Journal/Book/Conference Title
American Journal of Case Reports
Volume
16
DOI of Original Publication
10.12659/AJCR.893298
Date of Submission
November 2015
Abstract
Patient: Female, 73
Final Diagnosis: Giant liver hemangioma
Symptoms: Abdominal discomfort • abdominal enlargement • Icterus
Medication: —
Clinical Procedure: Enucleation after embolization of liver failure-causing giant liver
Specialty: Surgery
Objective:
Unusual clinical course
Background:
Hepatic hemangioma is a congenital tumor of the mesenchymal tissues of the liver. While typically benign, these tumors can occasionally grow to sufficient size to cause a number of symptoms, including pain, severe hepatic dysfunction, or, rarely, consumptive coagulopathy. In such instances, surgical treatment may be warranted.
Case Report:
We present a case of a symptomatic giant hepatic hemangioma in an elderly patient who presented with impending liver failure. She was successfully treated with a combination of surgical enucleation and liver resection after preoperative arterial embolization. We also provide a brief discussion of current treatment options for giant hepatic hemangiomas.
Conclusions:
Early referral to experienced surgical centers before the onset of dire complications such as severe hepatic dysfunction and liver failure is recommended.
Rights
Copyright © Am J Case Rep 2015. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License
Is Part Of
VCU Surgery Publications
Comments
Originally published at http://dx.doi.org/10.12659/AJCR.893298