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Giant hepatic hemangioma case report: When is it time for surgery?
Angelo Amico1, Luca Mammino2, Stefano Palmucci3
1General Surgery, Department of Oncological Surgery, University Hospital "Policlinico-Vittorio Emanuele", 95123, Catania, Italy.
Annals of Medicine and Surgery (2012)
|September 3, 2020
Summary
A large liver hemangioma caused intermittent abdominal pain in a 30-year-old man. Imaging revealed a 6 cm cavernous hemangioma in the fifth hepatic segment, prompting a discussion on treatment indications.
Area of Science:
- Hepatology
- Diagnostic Imaging
- Gastroenterology
Background:
- Cavernous hemangiomas are the most common benign liver tumors.
- While often asymptomatic, large hemangiomas can cause significant clinical symptoms.
Observation:
- A 30-year-old male presented with intermittent right flank abdominal pain.
- Diagnostic imaging, including Ultrasonography and Magnetic Resonance Imaging (MRI), identified a large (6 cm) cavernous hemangioma in the fifth hepatic segment of the liver.
Findings:
- The imaging features and clinical presentation were consistent with a symptomatic hepatic hemangioma.
- The size and location of the hemangioma were key factors in determining treatment necessity.
Implications:
- This case highlights the importance of comprehensive imaging in diagnosing abdominal pain.
- Understanding the indications for treatment of hepatic hemangiomas is crucial for patient management.
- Further research into optimal management strategies for large symptomatic liver hemangiomas is warranted.
