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Case Reports
. 2015 Aug 24:16:563-7.
doi: 10.12659/AJCR.893298.

Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma

Amit Sharma  1 , Matthew Kaspar  1 , Mohammad Siddiqui  1 , Joohyun Kim  2
Affiliations
Case Reports

Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma

Amit Sharma et al. Am J Case Rep. .

Abstract

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.

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Figures

Figure 1.
Figure 1.
Computed tomography of the abdomen with large left lobe mass with compression of the right lobe.
Figure 2.
Figure 2.
Magnetic resonance imaging of the abdomen showing the cranio-caudal extent of the massive cavernous hemangioma.
Figure 3.
Figure 3.
Pre-operative hepatic angiography. The left hepatic artery feeding the massive hemagioma was embolized successfully to achieve reduction in tumor size.
Figure 4.
Figure 4.
Gross view of the massive hemangioma involving the entire left lobe. The operator’s gloved fingers are resting over the patient’s supra-pubic area. The thin, compressed right lobe is barely visible.
Figure 5.
Figure 5.
Specimen on the back table showing the massive cavernous hemangioma weighing 12.14 pounds (5.5 kg). The maximum dimension of the tumor was 30 cm.
See this image and copyright information in PMC

References

    1. Giuliante F, Ardito F, Vellone M, et al. Reappraisal of surgical indications and approach for liver hemangioma: single-center experience on 74 patients. Am J Surg. 2011;201(6):741–48. - PubMed
    1. Hall GW. Kasabach-Merritt syndrome: pathogenesis and management. Br J Haematol. 2001;112(4):851–62. - PubMed
    1. Concejero AM, Chen CL, Chen TY, et al. Giant cavernous hemangioma of the liver with coagulopathy: adult Kasabach-Merritt syndrome. Surgery. 2009;145(2):245–47. - PubMed
    1. Yildiz S, Kantarci M, Kizrak Y. Cadaveric liver transplantation for a giant mass. Gastroenterology. 2014;146(1):e10–1. - PubMed
    1. Vagefi PA, Klein I, Gelb B, et al. Emergent orthotopic liver transplantation for hemorrhage from a giant cavernous hepatic hemangioma: case report and review. J Gastrointest Surg. 2011;15(1):209–14. - PMC - PubMed

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