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2013, Number 4

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Rev cubana med 2013; 52 (4)

Liver giant hemangioma

Astencio RG, Más MM

Language: Spanish
References: 10
Page: 281-285
PDF size: 57.73 Kb.


ABSTRACT

The so called giant hepatic hemangioma is usually less frequent than those smaller than 5 cm. The first ones cause symptoms in some cases and they increased the risk of complications such as traumatic rupture; so that their management can be rather complex since currently there is no consensus for their treatment. A 18 year-old female patient was received at consultation due to pain and palpable mass in the epigastrium. In imaging studies performed a tumor was found in the left hepatic lobe, which was compatible with giant hemangioma. It was corroborated by videolaparoscopy which showed an atypical vascular imaging. This case was discussed in an interdisciplinary team of the gastroenterology, surgery and imaging services. Chemoembolization to hepatic artery was initially decided with Gel FOAM and, in a second stage, surgical resection of the lesion was performed, which allowed greater surgical accessibility, avoiding complications, along with a positive surgical outcome.


REFERENCES

  1. John TG, Greig JD, Crosbie JL. Diagnóstico y comportamiento del hemangioma hepático. Ann Surg. 1998;220:711.

  2. Tait N, Richardson AJ, Muguti G, Little JM. Hepatic cavernous haemangioma: a 10 year review. Aust N Z J Surg. 1992;62:521.

  3. Adán YG, Huvos AG, Fortner JG. El hemangioma gigante del hígado. Ann Surg. 2008;172:239.

  4. Grieco MB, Miscall BG. El hemangioma gigante del hígado. Surg Gynecol Obstet 2010; 147:783

  5. Gandolfi L, Leo P, Solmi L. La historia natural del hemangioma hepático: Clínico y estudio del ultrasonido. Destripe. 1999;32:677.

  6. Gilon D, Slater PE, Benbassat J. ¿El análisis de la conducta puede ayudar en la dirección del hemangioma gigante del hígado? J Clin Gastroenterol. 2005;13:255.

  7. Goodman Z. Los tumores benignos del hígado. Okuda K, Iskah E (editores). Tokio: Springer-Verlag, 2010. p.105.

  8. Yamagata M, Kanematsu T, Matsumata T. La dirección del hemangioma del hígado: la comparación de resultados entre la cirugía y observación. Br J Surg. 2008;78:1223.

  9. Kadry Z, Mentha G, Cereda JM. La ruptura del hemangioma como una manifestación del hemangioma cavernoso hepático gigante. J Hepatol. 2000;32:358.

  10. Yamamoto T, Kawarada Y. La ruptura espontánea del hemangioma del hígado: el tratamiento con el transcateter para embolización arterial hepática. Es J Gastroenterology. 2011;86:1645.




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