Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma

被引:6
作者
Sharma, Amit [1 ]
Kaspar, Matthew [1 ]
Siddiqui, Mohammad [1 ]
Kim, Joohyun [2 ]
机构
[1] Virginia Commonwealth Univ, Div Transplantat Surg, Hume Lee Transplant Ctr, Richmond, VA USA
[2] Med Coll Wisconsin, Div Transplant Surg, Milwaukee, WI 53226 USA
关键词
Embolization; Therapeutic; Hemangioma; Cavernous; Liver Failure; Acute; Surgical Procedures; Elective;
D O I
10.12659/AJCR.893298
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patient: Female, 73 Final Diagnosis: Giant liver hemangioma Symptoms: Abdominal discomfort . abdominal enlargement . Icterus Medication: - Clinical Procedure: Enucleation after embolization of liver failure-causing giant liver Specialty: Surgery Objective: Unusual clinical course 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.
引用
收藏
页码:563 / 567
页数:5
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