2014, Number 1
Med Sur 2014; 21 (1)
Manzano-Robleda MC, Ornelas-Arroyo S, Toapanta-Yancapaxi L, Motola-Kuba M, Aguilar-Olivos NE, Chávez-Tapia NC, Uribe-Esquivel M
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ABSTRACTBackground. The prevalence of hepatic hemangiomas range between 5 and 20% in the general population with a female: male ratio of 6:1. Most of hepatic hemangiomas are asymptomatic. Giant hemangioma is defined by a size ≥ 4 cm, when giant hemangioma is present up to 79% of patients presented abdominal pain. Nowadays, the most accurate method for diagnosis is de image for magnetic resonance with a sensitivity and specificity of 95 and 100% respectively. Aim. Describe the clinical and radiological characteristics of giant hemangiomas clinic cases. Material and methods: All patients with giant hemangioma diagnosis during January 2012 to January 2013 period were included. Results. Three patients with giant hemangioma diagnosis were included, two women and one man, with an age between 30 to 58 years old. Most patients were asymptomatic, but only one presented abdominal pain related to hemangioma size. None of them present with biochemical alteration. All patients were diagnosed by computerized tomography and magnetic resonance imaging. The clinical course of patient one and two has been favorable and will be monitored with annual image studies. The patient number three undergo progressive symptoms due to abdominal pain and multiple giant hemangiomas; assessment has been sent to the surgical service. Conclusion. The hepatic hemangiomas described in this work match with the characteristics described in the literature, being mostly asymptomatic, of a variable size, and most frequent in women. Surgical management is indicated only in giant size tumors, which symptoms are present, when increased in size and to exclude malignancy.