Case Report: Giant abdominal hemangioma originating from the liver

Jiang, Tianxiang; Zhao, Zhou; Cai, Zhaolun; Shen, Chaoyong; Zhang, Bo

doi:10.3389/fonc.2023.1165195

Cited by 3 publications

(1 citation statement)

References 52 publications

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“… 6 - 8 Percutaneous radiofrequency ablation and transarterial embolization are effective, but there is a lack of reports on the treatment of giant tumors in patients with cirrhosis. 6 - 9 The main surgical procedures are enucleation, resection, and liver transplantation. Enucleation is safely performed for small and peripheral nodules while resection is chosen for lesions with an unclear border, as well as for a large tumor, especially when other hemangiomas surround it.…”

Section: Short Communicationmentioning

confidence: 99%

Giant hepatic hemangioma in a patient with cirrhosis: challenging to manage

Cunha-Silva,

Veiga,

Costa

et al. 2024

Autops Case Rep

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Giant hepatic hemangiomas are occasional in patients with cirrhosis. It remains a challenge to decide on the need for treatment and choose the most appropriate intervention. A 62-year-old woman was recently diagnosed with cirrhosis and complained of upper abdominal fullness, reduction in oral food intake, and weight loss of 6 kg over the last three years. Upper digestive endoscopy evidenced thin-caliber esophageal varices and significant extrinsic compression of the lesser gastric curvature. Abdominal computed tomography revealed an exophytic tumor in the left hepatic lobe, measuring 11.5 cm, which had progressive centripetal contrast enhancement from the arterial phase, compatible with hepatic hemangioma. Serum tumor markers were negative, and her liver function was unimpaired. The patient underwent surgical resection (non-anatomical hepatectomy of segments II and III) which had no immediate complications, and the histopathological evaluation confirmed cavernous hepatic hemangioma. Two weeks later, she was admitted to the emergency room with jaundice, signs of hepatic encephalopathy, and moderate ascites, and was further diagnosed with secondary bacterial peritonitis. As no perforations, abscesses, or fistulas were observed on subsequent imaging tests, clinical management was successfully carried out. This case highlights that giant hepatic hemangiomas may be symptomatic and warrant treatment. In the setting of cirrhosis and portal hypertension, physicians should be aware of the risk of hepatic decompensation following surgical resection, even in patients with Child-Pugh class A.

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Section: Short Communicationmentioning

confidence: 99%

Giant hepatic hemangioma in a patient with cirrhosis: challenging to manage

Cunha-Silva,

Veiga,

Costa

et al. 2024

Autops Case Rep

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Giant pedunculated hepatic hemangioma accompanied by a 10‐year history of taking oral contraceptive: A case report and literature review

Samidoust,

Moayerifar,

Mohammadian

et al. 2024

Clinical Case Reports

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Key Clinical MessageGiant pedunculated hepatic hemangiomas, mostly seen in women, are considered a rare type of giant hepatic hemangioma, with challenging diagnosis. Unlike other types of liver hemangiomas, they can manifest different kinds of symptoms, and are prone to life‐threatening manifestations like rupture or torsion.AbstractHemangioma is the most common benign liver primary tumor. Hepatic hemangioma >4 cm (some studies suggest >10 cm) is referred to as a giant hemangioma. Although hepatic hemangioma does not manifest symptoms in most cases, a giant hepatic hemangioma can manifest different kinds of symptoms. Giant pedunculated hepatic hemangiomas are considered a rare type of giant hepatic hemangioma, with challenging diagnosis, as the thin pedicle could be hard to be detected on imaging. A 41‐year‐old woman was admitted to our hospital, with dull discomfort of the right upper quadrant and epigastric region and early satiety for the past 7 months, with the history of taking oral contraceptive (OCP) for 10 years. Ultrasound and computed tomography revealed a 130 × 124 × 76 mm solid mass, with central cystic lesion, located in the midline of the epigastric region, attaching to the inferior surface of the third segment of the left lobe of the liver. Due to the potential risk for torsion, and rupture of the hemangioma, the management of the patient proceeded to surgical excision. Pathological examination of the specimen confirmed the diagnosis of hepatic hemangioma. Giant pedunculated hepatic hemangioma is a rare benign tumor. It demonstrates higher incidence rate in women, as some hemangiomas have estrogen receptors, and estrogen can lead to endothelial cell proliferation and organization in vascular structure. Most hemangiomas do not express any symptoms; therefore, no treatment is needed except for the patients who manifest symptoms, or in giant pedunculated hemangiomas, as they are prone to rupture or torsion. In this review most cases were female, and most of them presented with abdominal pain, in most cases the tumor located in the left lobe of the liver. Almost all the reviewed cases underwent surgery. Giant hepatic hemangioma is a differential diagnosis of palpable mass, or other symptoms of the right upper quadrant, and epigastric region specially in women taking OCP. Imaging is needed to rule out these tumors, and most often, pedunculated hemangioma is harder to be defined on imaging. It requires surgery because of the risk of acute problems, such as torsion and rupture.

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Giant left lobe hemangioma of the liver misdiagnosed for splenomegaly

Toskovic,

Milosavljevic,

Buzejic

et al. 2023

Srp Arh Celok Lek

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Introduction. Most patients with liver hemangiomas are unrecognized, when symptoms occur it is usually due to its size. Hemangioma of liver are benign tumors which affects more often women. Surgical indications for liver resection remain unclear. Case outline. We present a patient with giant hemangioma of left liver lobe that was misdiagnosed in primary care unit. Patient underwent resection of left liver lobe and fully recovered a few days after. Conclusion. Symptoms, size, and risk of rupture should be considered when decision for operation is made. Linear stapler can be useful especially when left and middle hepatic vein have common trunk.

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Case Report: Giant abdominal hemangioma originating from the liver

Cited by 3 publications

References 52 publications

Giant hepatic hemangioma in a patient with cirrhosis: challenging to manage

Giant hepatic hemangioma in a patient with cirrhosis: challenging to manage

Giant pedunculated hepatic hemangioma accompanied by a 10‐year history of taking oral contraceptive: A case report and literature review

Giant left lobe hemangioma of the liver misdiagnosed for splenomegaly

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