Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Jul 7;20(25):8312-6.
doi: 10.3748/wjg.v20.i25.8312.

Right hepatectomy for giant cavernous hemangioma with diffuse hemangiomatosis around Glisson's capsule

Yu Ohkura  1 , Masaji Hashimoto  1 , Seigi Lee  1 , Kazunari Sasaki  1 , Masamichi Matsuda  1 , Goro Watanabe  1
Affiliations
Case Reports

Right hepatectomy for giant cavernous hemangioma with diffuse hemangiomatosis around Glisson's capsule

Yu Ohkura et al. World J Gastroenterol. .

Abstract

Diffuse liver hemangiomatosis with giant cavernous hemangioma in adult is extremely rare. A 35 year-old woman presented to hospital with main complaint of epigastric pain and abdominal fullness. An enhanced computed tomography scan revealed a massive liver tumor in right lobe about 150 mm in size. There was contrast enhancement at the periphery of the mass consistent with a cavernous hemangioma. She underwent right hepatectomy. Histologically, it was diagnosed as a cavernous hemangioma. And also, hemangiomatous lesions were scattered around the Glisson's capsule on the back ground liver. These hemangiomatous lesions were not recognized preoperatively. Even if we couldn't diagnose hemangiomatosis around the main giant hemangioma preoperatively, we need to take enough surgical margins because the giant hemangioma has the potential to have small hemangiomatous lesions around the tumor. We reported right hepatectomy for giant cavernous hemangioma with diffuse hepatic hemangiomatosis without an extrahepatic lesion in an adult.

Keywords: Around Glisson’s capsule; Giant cavernous hemangioma; Hemangiomatosis; Right hepatectomy; Surgery.

PubMed Disclaimer

Figures

Figure 1
Figure 1
There was contrast enhancement at the periphery of the mass consistent with a cavernous hemangioma.
Figure 2
Figure 2
High intensity on T2-weighted magnetic resonance imaging (A) and high intensity on diffusion magnetic resonance imaging (B).
Figure 3
Figure 3
Resected tumor was 200 mm × 140 mm × 85 mm in size and 910 g in weight.
Figure 4
Figure 4
Cut section of the resected tumor. The white area has tumor degeneration and loss of tumor cells.
Figure 5
Figure 5
Histological findings of a giant tumor reveal endothelial cell proliferation and dilated blood channels (hematoxylin and eosin staining, × 4).
Figure 6
Figure 6
Hemangiomatous lesions (arrows) were scattered around the Glisson’s capsule (star) on the back ground liver (hematoxylin and eosin staining, × 1.25).
See this image and copyright information in PMC

References

    1. Weimann A, Ringe B, Klempnauer J, Lamesch P, Gratz KF, Prokop M, Maschek H, Tusch G, Pichlmayr R. Benign liver tumors: differential diagnosis and indications for surgery. World J Surg. 1997;21:983–990; discussion 990-991. - PubMed
    1. Ishak KG, Rabin L. Benign tumors of the liver. Med Clin North Am. 1975;59:995–1013. - PubMed
    1. Adam YG, Huvos AG, Fortner JG. Giant hemangiomas of the liver. Ann Surg. 1970;172:239–245. - PMC - PubMed
    1. Gutierrez RM, Spjut HJ. Skeletal angiomatosis: report of three cases and review of the literature. Clin Orthop Relat Res. 1972;85:82–97. - PubMed
    1. Haitjema T, Westermann CJ, Overtoom TT, Timmer R, Disch F, Mauser H, Lammers JW. Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease): new insights in pathogenesis, complications, and treatment. Arch Intern Med. 1996;156:714–719. - PubMed

Publication types