Management of Symptomatic Hepatic "Mega" Hemangioma

Overview

Journal Hawaii J Med Public Health

Specialties General Medicine
Public Health

Date 2019 Apr 12

PMID 30972235

Citations 5

Authors

William A Ketchum

Kevin M Lin-Hurtubise

Emily Ochmanek

Kelli Ishihara

Robert D Rice

Affiliations

Soon will be listed here.

Abstract

The majority of giant hepatic cavernous hemangiomas are asymptomatic and can safely be observed. However, when a lesion becomes symptomatic, affecting quality of life or cannot be distinguished from a malignancy, then operative therapy should be considered. We herein present a case of a symptomatic 12cm × 14cm × 17cm "mega" hemangioma (>10cm) of the left hepatic lobe. This lesion was initially refractory to transarterial embolization of the left hepatic artery, but was subsequently treated successfully with a left lateral extended hepatic segmentectomy (resection). We thus advocate a rational treatment algorithm for management of hepatic "mega" hemangiomas.

Citing Articles

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Giant Cavernous Hemangioma of the Liver in a Patient with Autosomal Dominant Polycystic Kidney Disease.

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Extended liver resection including hypertrophy concept with portal venous embolisation for giant haemangioma. Too much surgery?.

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