The Nature of Hepatic Hemangioma and Surgical Role of Treatment
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Published:
Jun 1, 2018
Keywords:
hepatic hemangioma surgical hepatic resection benign mesenchymal tumors
Main Article Content
Abstract
Hepatic hemangiomas are the most common benign mesenchymal tumors of the liver. The majority of hepatic hemangiomas are asymptomatic, most often being discovered incidentally during imaging investigations. Hence, there is no specific treatment in small and asymptomatic hemangiomas. However, minority of hepatic hemangiomas can cause symptoms and complications depending on size. Because these hemangiomas are commonly found, therefore physicians should have knowledge about them, especially surgeons who are responsible for the surgical management of the patients. This article reports a case of hepatic hemangioma complicated by Bornman-Terblanche-Blumgart syndrome (fever, abdominal pain and intra-tumoral hemorrhage) which are rare complications. The patient was managed by surgical hepatic resection. The symptoms fully resolved at one month after surgery.
Article Details
How to Cite
Yongpradit, T. (2018). The Nature of Hepatic Hemangioma and Surgical Role of Treatment. Vajira Medical Journal : Journal of Urban Medicine, 62(Supplement), S57–64. Retrieved from https://he02.tci-thaijo.org/index.php/VMED/article/view/209300
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Review Articles
References
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17. Toro A, Mahfouz AE, Ardiri A, Malaguarnera M, Malaguarnera G, Loria F, et al. What is changing in indications and treatment of hepatic hemangiomas: A review. Ann Hepatol. 2014 Jul-Aug;13(4):327-39.
2. Takagi H. Diagnosis and management of cavernous hemangioma of the liver. Semin Surg Oncol. 1985;1(1):12-22.
3. Koszka AJ, Ferreira FG, de Aquino CG, Ribeiro MA, Gallo AS, Aranzana EM, et al. Resection of a rapid-growing 40-cm giant liver hemangioma. World J Hepatol. 2010 Jul 27;2(7):292-4.
4. Trastek VF, van Heerden JA, Sheedy PF 2nd, Adson MA. Cavernous hemangiomas of the liver: resect or observe? Am J Surg. 1983 Jan;145(1): 49-53.
5. Concejero AM, Chen CL, Chen TY, Eng HL, Kuo FY. Giant cavernous hemangioma of the liver with coagulopathy: adult Kasabach–Merritt syndrome. Surgery. 2009 Feb;145(2):245-7.
6. Jang HJ, Kim TK, Lim HK, Park SJ, Sim JS, Kim HY, et al. Hepatic hemangioma: atypical appearances on CT, MR imaging, and sonography. AJR Am J Roentgenol. 2003 Jan;180(1):135-41.
7. Sewell JH, Weiss K. Spontaneous rupture of hemangioma of the liver. A review of the literature and presentation of illustrative case. Arch Surg. 1961 Nov;83:729-33.
8. Vilgrain V, Boulos L, Vullierme MP, Denys A, Terris B, Menu Y. Imaging of atypical hemangiomas of the liver with pathologic correlation. Radiographics. 2000 Mar-Apr; 20(2):379-97.
9. Gibney RG, Hendin AP, Cooperberg PL. Sonographically detected hepatic hemangiomas: absence of change over time. AJR Am J Roentgenol. 1987 Nov;149(5):953-7.
10. Soyer P, Gueye C, Somveille E, Laissy JP, Scherrer A. MR diagnosis of hepatic metastases from neuroendocrine tumors versus hemangiomas: relative merits of dynamic gadolinium chelate– enhanced gradient-recalled echo and unenhanced spin-echo images. AJR Am J Roentgenol. 1995 Dec; 165(6):1407-13.
11. May BJ, Madoff DC. Portal Vein Embolization: Rationale, Technique and Current Application. Semin Intervent Radiol. 2012 Jun;29(2):81-9.
12. Sharpe EE 3rd, Dodd GD 3rd. Percutaneous radiofrequency ablation of symptomatic giant hepatic cavernous hemangiomas: report of two cases and review of literature. J Vasc Interv Radiol. 2012 Jul;23(7):971-5.
13. Gao J, Fan RF, Yang JY, Cui Y, Ji JS, Ma KS, et al. Radiofrequency ablation for hepatic hemangiomas: A consensus from a Chinese panel of experts. World J Gastroenterol. 2017 Oct 21;23(39):7077-86.
14. Vassiou K, Rountas H, Liakou P, Arvanitis D, Fezoulidis I, Tepetes K. Embolization of a giant hepatic hemangioma prior to urgent liver resection. Case report and review of the literature. Cardiovasc Intervent Radiol. 2007 Jul-Aug;30(4):800-2.
15. Larcher VF, Howard ER, Mowat AP. Hepatic haemangiomata: diagnosis and management. Arch Dis Child. 1981 Jan;56(1):7-14.
16. Rake MO, Liberman MM, Dawson JL, Evans R, Raftery EB, Laws J, et al. Ligation of the hepatic artery in the treatment of heart failure due to hepatic haemangiomatosis. Gut. 1970 Jun;11(6):512-5.
17. Toro A, Mahfouz AE, Ardiri A, Malaguarnera M, Malaguarnera G, Loria F, et al. What is changing in indications and treatment of hepatic hemangiomas: A review. Ann Hepatol. 2014 Jul-Aug;13(4):327-39.