Massive Hemangiomas of the Liver

Authors

  • Chinda Suwanraks Department of Surgery, Faculty of Medicine and Ramathibodi Hospital, Mahidal University
  • Thongdee Shaipanich Department of Surgery, Faculty of Medicine and Ramathibodi Hospital, Mahidal University
  • Auchai Kanjanapituks Department of Surgery, Faculty of Medicine and Ramathibodi Hospital, Mahidal University
  • Vithya Watanophas Department of Surgery, Faculry af Me dicine and Siriraj Hospital, Mahidol University
  • Kriengkrai Akarawong Department of Medicine, Faculty of Medicine and Ramathibodi Hospital, Mahidol University
  • Chirotchana Suchato Department of Radiology, Faculty of Medicine and Ramathibodi Hospital, Mahidol University
  • Prem Buri Department of Surgery, Faculty of Medicine and Ramathibodi Hospital, Mahidal University

Abstract

Four cases of massive hemangioma of the liver were encountered during the eleven- year period from 1966 to 1976. Two were localized in the right lobe and the third was in the left lobe. The lesion in the fourth case involved both lobes but the celiac angiography failed to demonstrate the vascular nature of the mass. However, splenoportography revealed the large and diffuse hemangiomatosis involving both lobes of the liver with mild portal hypertension. They were successfully removed in the first 3 cases but the last case suffered severe and almost uncontrollable hemorrhage at surgical exploration and was subsequently treated by radiation therapy. The different angiographic finding in the last two cases suggests that hemangioma of the liver may be of two different categories, one is related to hepatic arterial vasculature and the other related to portal venous vasculature. The importance of splenoportography in the diagnosis of hemangioma of the liver when the arteriography fails to demonstrate the vascular lesion is emphasized.

References

1. Adam, YG, Huvos, AG and Fortner, JG: Giant Hemangiomas of the Liver. Ann Surg 172:239,1970.

2. Boyd W: Pathology for the Surgeon. WB Saunders Company, 7th Ed., Philadelphia. 1955, pp 263.

3. Braun, P, Ducharme, JC, Riopelle, JL and Davignon A: Hemangiomatosis of the Liver in Infants. J Pediatr Surg 10:121,1975.

4. Clatworthy, HW, Boles, Jr, ET and Kottmeier, PK: Liver Tumors in Infancy and Childhood. Ann Surg 154:4751961.

5. Cooper, WH and Martin, JF: Hemangioma of the Liver with Thrombocytopenia. Am J Roentgenol, 88:751,1962.

6. Henson, SW, Jr, Gray, HK and Dockerty, MB: Benign Tumors of the Liver; II. Hemangiomas. Surg Gynecol Obstet 103:327,1956.

7. Itzchak, Y, Adar, R and Bogokowski, H et al: Intrahepatic Arterial Portal Communications: Angiographic Study. Am J Roentgenol 121:384,1974.

8. Kato, M, Sugawara, I, Okada, A et al: Hemangioma of the Liver, Diagnosis with Combined Use of Laparoscopy and Hepatic Arteriography. Am J Surg 129:698,1975.

9. Kessler, RE, Tice, DA and Zimmon DS: Hemodynamic Factors Reflects Prognosis after Portacaval Shunt. Surg Forum 23:334,1972.

10. Levine, S: Hemangioma of the Liver Diagnosed by Splenoportography. Am J Roentgenol 77:332,1957.

11. Major, RH and Black, ER: A Huge Hemangioma of the Liver Associated with Hemangiomata of the Skull and Bilateral Cystic Adrenals. Am J Med Sc 156:469,1918.

12. Malt, RA, Hershberg, RA and Miller, WL: Experience with Benign Tumors of the Liver, Surg Gynecol Obstet 130:285,1970.

13. Park, WC and Philips, R: The Role of Radiation Therapy in the Management of the Hemangiomas of the Liver. JAMA 212:1496,1970.

14. Rubin, IC: Large Pedunculated Angioma of the Liver Reaching Down into the Pelvis and Causing Obstetric Difficulty. Am J Obstet 77:273,1918.

15. Sewell, JH and Weiss, K: Spontaneous Rupture of Hemangioma of the Liver. Arch Surg 83:729,1962.

16. Shumacker, HB, Jr: Hemangioma of the Liver. Surgery 11:209,1942.

17. Slovis, TL, Walter, EB, Haller, JO et al: Hemangiomas of the Liver in Infants; Reviews of Diagnosis, Treatment and Course. Am J Roentgenol 123:791,1975.

18. Wakeley, CPG: A Large Cavernous Hemangioma of the Left Lobe of the Liver Causing Obstruction of the Cardiac Orifices of the Stomach. Br J Surg 12:590,1925.

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Published

1980-03-31

How to Cite

1.
Suwanraks C, Shaipanich T, Kanjanapituks A, Watanophas V, Akarawong K, Suchato C, Buri P. Massive Hemangiomas of the Liver . Thai J Surg [Internet]. 1980 Mar. 31 [cited 2024 Jul. 18];1(1):19-25. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/249103

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Original Articles