Massive Hemangiomas of the Liver
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.
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