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Case Reports
. 2016 Feb 25:2016:bcr2015213259.
doi: 10.1136/bcr-2015-213259.

Same day arterial embolisation followed by hepatic resection for treatment of giant haemangioma

James Bailey  1 , Sara Di Carlo  2 , James Blackwell  3 , Dhanny Gomez  1
Affiliations
Case Reports

Same day arterial embolisation followed by hepatic resection for treatment of giant haemangioma

James Bailey et al. BMJ Case Rep. .

Abstract

Cavernous haemangiomas are the most common tumour of the liver; they are benign in nature and have an incidence of up to 7.3% at autopsy. Occasionally, they may cause symptoms necessitating intervention. We report the case of a woman who presented with non-specific abdominal pain and evidence of a giant hepatic haemangioma on abdominal imaging. She underwent selective hepatic arteriography with transcatheter arterial embolisation followed by same-day left hemi-hepatectomy, making an uneventful recovery. We discuss the management of giant hepatic haemangiomas and present same day transcatheter arterial embolisation prior to hepatic resection as a safe and viable treatment strategy in selected cases.

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Figures

Figure 1
Figure 1
CT showing a large liver mass in the left lobe of the liver.
Figure 2
Figure 2
MRI of the liver demonstrating a large haemangioma in the left lobe of the liver.
Figure 3
Figure 3
Liver specimen with a shrunken haemangioma in the left lobe, following embolisation.
See this image and copyright information in PMC

References

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