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Surgery for a symptomatic massive liver haemangioma.
Sowmiya Velusamy1, Souradeep Dutta1, Debasis Naik1
1Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India.
BMJ Case Reports
|March 20, 2024
Summary
This case report details a rare instance of a massive liver hemangioma causing secondary portal hypertension. Surgical resection successfully resolved the condition, highlighting its potential benefits for rare, complex hepatic tumors.
Area of Science:
- Hepatology
- Surgical Oncology
- Vascular Surgery
Background:
- Liver hemangiomas are common benign hepatic tumors.
- Secondary portal hypertension from hemangiomas is exceptionally rare.
Observation:
- A 50s male presented with an enlarging abdominal mass.
- CT revealed a large liver hemangioma compressing the portal vein, causing portal hypertension.
- The patient had esophageal varices and portal gastropathy.
Findings:
- The patient underwent a successful right hepatectomy.
- Postoperative recovery was uneventful.
- 3-month follow-up showed resolution of portal hypertension complications and left lobe hypertrophy.
Implications:
- Surgical resection is a viable treatment for massive hepatic hemangiomas causing portal hypertension.
- Early surgical intervention can lead to minimal complications and favorable outcomes.
- This case underscores the importance of considering surgical management for rare complications of benign liver tumors.
