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Hepatic haemangioma causing isolated right-sided pleural effusion and bilateral pedal oedema
Oseen Hajilal Shaikh1, Uday Shamrao Kumbhar2, Chilaka Suresh1
1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Abstract:
Hepatic haemangioma (HH) is a common benign tumour of the liver and is usually asymptomatic. HH causing isolated right-sided pleural effusion and bilateral pedal oedema due to inferior vena cava (IVC) compression have never been reported in the literature. We report a 35-year-old male patient who presented with breathlessness and mass per abdomen. On examination, the patient was found to have right-sided pleural effusion, bilateral pedal oedema, hepatomegaly. Contrast-enhanced CT showed compression of the IVC by the HH. The patient was managed with right-sided intercostal drain insertion for pleural effusion and hepatic artery embolisation. The patient improved gradually with reduced pleural effusion and resolving pedal oedema.
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