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Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma
Amit Sharma1, Matthew Kaspar1, Mohammad Siddiqui1
1Division of Transplantation Surgery, Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, VA, USA.
Background:
Hepatic hemangioma is a congenital tumor of the mesenchymal tissues of the liver. While typically benign, these tumors can occasionally grow to sufficient size to cause a number of symptoms, including pain, severe hepatic dysfunction, or, rarely, consumptive coagulopathy. In such instances, surgical treatment may be warranted.
Case Report:
We present a case of a symptomatic giant hepatic hemangioma in an elderly patient who presented with impending liver failure. She was successfully treated with a combination of surgical enucleation and liver resection after preoperative arterial embolization. We also provide a brief discussion of current treatment options for giant hepatic hemangiomas.
Conclusions:
Early referral to experienced surgical centers before the onset of dire complications such as severe hepatic dysfunction and liver failure is recommended.
