Management of Giant Hepatic Hemangioma in Atypical Localization; Report of a Case and Literature Review
Journal Title: Polish Journal of Surgery - Year 2015, Vol 87, Issue 3
Abstract
Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discovered. In most of the cases they are small and asymptomatic. It is widely accepted that clinical intervention is indicated only for symptomatic hemangiomas. We present a case of an asymptomatic giant hemangioma managed by enucleation due to its atypical localization. The hemangioma, originally located in segment 5, was now described in Computer Tomography (CT) Imaging as separating the gallbladder from the liver parenchyma. A careful evaluation of images revealed proximity to the portal vein (PV), right hepatic artery (RHA), right hepatic duct (RHD) and right branch of the portal vein (RBPV). Thus, in the case of an emergent operation, surgical maneuvers in the area of the altered hepatic anatomy and proximity to the hemangioma itself, would in fact increase the risk endangering the patient’s life. After patient’s consent, a surgical enucleation en block with the gall-bladder was performed. It is of great importance that specifically selected, asymptomatic patients diagnosed with a giant hemangioma, with the above mentioned or similar localization should be considered for surgical treatment.
Authors and Affiliations
Rafał Stankiewicz, Konrad Kobryń, Waldemar Patkowski, Marek Krawczyk
Keywords
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- EP ID EP74469
- DOI 10.1515/pjs-2015-0034
- Views 127
- Downloads 0
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