scholarly journals Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Alvin Chang ◽  
Brianna Ruch ◽  
Aamir Khan ◽  
Marlon Levy ◽  
Amit Sharma
Keyword(s):  
Weight Loss ◽  
Surgical Intervention ◽  
Hepatic Tumor ◽  
Hepatic Hemangioma ◽  
Large Size ◽  
Surveillance Imaging ◽  
Giant Hepatic Hemangioma ◽  
Current Guidelines ◽  
Hepatic Hemangiomas ◽  
Observation Period

Hepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver hemangiomas (>5 cm). We present the case of a patient with a rapidly enlarging giant hepatic hemangioma initially managed by surveillance. During her observation period, she developed weight loss, constipation, and pancytopenia concerning for Kasabach-Merritt Syndrome. Resection of the hemangioma was complicated by its large size (28.0×18.0×11.4 cm). Patients with rapidly growing giant liver hemangiomas, even when asymptomatic, should be promptly referred to specialized surgical centers for evaluation and management.

scholarly journals Giant Hepatic Hemangioma With Kasabach–Merritt Syndrome: Is the Appropriate Treatment Enucleation or Liver Transplantation?

HPB Surgery ◽  
2000 ◽  
Vol 11 (6) ◽  
pp. 413-419 ◽  
Author(s):  
Steven N. Hochwald ◽  
Leslie H. Blumgart
Keyword(s):  
Liver Transplantation ◽  
Hepatic Hemangioma ◽  
Preoperative Preparation ◽  
Abdominal Girth ◽  
Disseminated Intravascular Coagulopathy ◽  
Postoperative Course ◽  
Appropriate Treatment ◽  
Intravascular Coagulopathy ◽  
Giant Hepatic Hemangioma ◽  
Hepatic Hemangiomas

We present a case of giant cavernous hemangioma of the liver with disseminated intravascular coagulopathy (Kasabach–Merritt syndrome) which was cured by enucleation. The 51 year old woman presented with increased abdominal girth and easy bruisability. Workup elsewhere revealed a massive hepatic hemangioma and she was started on radiation therapy to the lesion and offered an orthotopic liver transplant. After careful preoperative preparation, we felt that resection was possible and she underwent a successful enucleation. The operation and postoperative course were complicated by bleeding but she recovered and remains well in followup after 6 months. All coagulation parameters have returned to normal. Enucleation should be considered the treatment of choice for hepatic hemangiomas, including those presenting with Kasabach–Merritt syndrome. The benefits of enucleation as compared to liver transplantation for these lesions are discussed.

scholarly journals Giant Hepatic Hemangioma Presenting as Gastric Outlet Obstruction

2013 ◽  
Vol 98 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Cemalettin Aydin ◽  
Sami Akbulut ◽  
Koray Kutluturk ◽  
Aysegul Kahraman ◽  
Cuneyt Kayaalp ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Benign Tumor ◽  
Significant Proportion ◽  
Outlet Obstruction ◽  
Left Lobe ◽  
Hepatic Hemangioma ◽  
Giant Hepatic Hemangioma

Abstract Hemangioma, a most frequently encountered primary benign tumor of the liver, is generally determined incidentally during the course of radiologic tests for other reasons. Most lesions are less than 3 cm and a significant proportion of patients are asymptomatic, although the size and location of the lesion in some patients may be associated with the onset of symptoms. Pressure on the stomach and duodenum of giant hemagiomas developing in the left lobe of the liver, in particular, may result in the development of abdominal pain, nausea, vomiting, and feeling bloated, which are characteristic of a gastric outlet obstruction. A 42-year-old man presented with findings of gastric outlet obstruction and weight loss as a result of a giant hepatic hemangioma.

scholarly journals Case Report: Unusual presentation of concomitant gastric outlet obstruction and jaundice complicating giant hepatic angioma

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1355
Author(s):  
Nour Elleuch ◽  
Aya Hammami ◽  
Amira Hassine ◽  
Wafa Ben Ameur ◽  
Wafa Dahmani ◽  
...  
Keyword(s):  
Case Report ◽  
Obstructive Jaundice ◽  
Gastric Outlet Obstruction ◽  
Spontaneous Rupture ◽  
Benign Tumor ◽  
Surgical Intervention ◽  
Outlet Obstruction ◽  
Hepatic Hemangioma ◽  
Common Benign Tumor ◽  
Giant Hepatic Hemangioma

Hemangioma is the most common benign tumor affecting the liver.  The vast majority of liver hemangiomas (LH) are less than 30 mm in diameter, asymptomatic, and are most often identified incidentally during radiological investigations for other reasons. Giant LH greater than 50 mm can lead to the development of symptoms and complications that require prompt surgical intervention. Herein, we report the case of a 58-year-old man who presented with gastric outlet obstruction and obstructive jaundice as a result of a giant hepatic hemangioma that was complicated with fatal spontaneous rupture.

scholarly journals Giant Pedunculated Hepatic Hemangioma: A Case Report and Literature Review

2018 ◽  
Vol 11 (2) ◽  
pp. 476-484 ◽  
Author(s):  
Abdallah  Al Farai ◽  
Lénaïg Mescam ◽  
Valeria De Luca ◽  
Audrey Monneur ◽  
Delphine Perrot ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Preoperative Diagnosis ◽  
English Literature ◽  
Hepatic Hemangioma ◽  
Hepatic Lobectomy ◽  
Pathological Analysis ◽  
Left Hepatic Lobectomy ◽  
Giant Hepatic Hemangioma ◽  
Hepatic Hemangiomas

Hepatic hemangioma is the most common benign hepatic tumor, and most of them are small in size and asymptomatic. Giant hepatic hemangiomas are uncommon, but pedunculated giant hemangiomas are even rarer and often difficult to diagnose because of their exophytic development. We report here on a 48-year-old man with a symptomatic pedunculated giant hepatic hemangioma and hepatic angiomatosis, mimicking a gastric gastrointestinal stromal tumor with liver metastases. The preoperative diagnosis was suspected on imaging including CT scan and MRI. The patient was successfully operated (left hepatic lobectomy), without any complication, and the pathological analysis confirmed the diagnosis. We reviewed the English literature, and to our knowledge, our case represents the largest case reported so far when compared with the 19 other informative cases.

scholarly journals Totally Laparoscopic Resection of an Extremely Giant Hepatic Hemangioma

2019 ◽  
Vol 05 (03) ◽  
pp. e110-e112 ◽  
Author(s):  
Fadl H. Veerankutty ◽  
Shiraz Ahmad Rather ◽  
Varghese Yeldho ◽  
Bincy M. Zacharia ◽  
Shabeer Ali TU ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anterior Approach ◽  
Laparoscopic Resection ◽  
Hepatic Hemangioma ◽  
Laparoscopic Treatment ◽  
Open Resection ◽  
Totally Laparoscopic ◽  
Giant Hepatic Hemangioma ◽  
Hepatic Hemangiomas

AbstractRisk of massive intraoperative hemorrhage and the difficulty to control it makes the laparoscopic treatment of giant hepatic hemangiomas (GH) a challenge for minimally invasive hepatobiliary surgeons. Symptomatic GHs of more than 20 cm (extremely giant hepatic hemangiomas) are typically treated with an open resection. There is a paucity of literature on laparoscopic resection of extremely giant hepatic hemangiomas. We describe (with video), here, the technical nuances of pure laparoscopic resection of an extremely giant hepatic hemangioma using modified port positions and the anterior approach.

scholarly journals Method of spleen reduction in laparoscopic splenectomy in children with hereditary autoimmune hemolytic anemia

2020 ◽  
Vol 10 (4) ◽  
pp. 429-433
Author(s):  
Vyacheslav G. Svarich ◽  
Ilya M. Kagantsov ◽  
Violetta A. Svarich
Keyword(s):  
Surgical Treatment ◽  
Hemolytic Anemia ◽  
Autoimmune Hemolytic Anemia ◽  
Laparoscopic Splenectomy ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Operation Time ◽  
Spleen Tissue ◽  
Surgical Department ◽  
Large Size

Purpose. This study aimed to improve the results of surgical treatment of children with hereditary autoimmune hemolytic anemia by laparoscopic splenectomy. Materials and methods. In the period from 1991 to 2020, a total 47 patients with hereditary autoimmune hemolytic anemia were treated in the surgical department of the Republican Childrens Clinical Hospital of Syktyvkar. Splenectomy was performed by the open method in 25 children, and laparoscopic method in 22 patients. Since 2019, the method of spleen reduction during laparoscopic splenectomy has been used in 3 patients when the large size of the mobilized spleen does not correspond to the size of the endoscopic container. Results. On average, surgical intervention using the above-described method of spleen reduction lasted for 19 2 min lesser than with laparoscopic splenectomy without the above method, due to the possibility of removing a significantly smaller volume of spleen tissue from the endoscopic sac outside the abdominal cavity. However, the most important achievement was the almost complete elimination of the risk of getting free fragments of a pathologically altered spleen with its possible replantation and recurrence of the clinic of autoimmune hemolytic anemia. The postoperative period was smooth, and all patients were discharged at their place of residence 7 days after the laparoscopic splenectomy. Intra-abdominal complications and relapses of the disease associated with the above-described method of operation did not occur in any patient within 612 months postoperative. Conclusion. The proposed method of spleen reduction during laparoscopic splenectomy made it possible to avoid relapses of the disease, reduce the operation time, as a result, improved the results of surgical treatment in children with hereditary autoimmune hemolytic anemia.

Right Hepatectomy for Giant Hepatic Hemangioma With Progressive Growth in a Case of Relative Hyperestrogenism

2016 ◽  
Vol 94 (6) ◽  
pp. 363-364
Author(s):  
Ana Gálvez Saldaña ◽  
Marina Vila ◽  
Laura Lladó ◽  
Inmaculada Camprubi ◽  
Emilio Ramos
Keyword(s):  
Hepatic Hemangioma ◽  
Right Hepatectomy ◽  
Progressive Growth ◽  
Giant Hepatic Hemangioma

Surgical Management of Giant Hepatic Hemangioma: Single Center’s Experience with 144 Patients

2018 ◽  
Vol 22 (5) ◽  
pp. 849-858 ◽  
Author(s):  
Mohamed Abdel Wahab ◽  
Ayman El Nakeeb ◽  
Mahmoud Abdelwahab Ali ◽  
Youssef Mahdy ◽  
Ahmed Shehta ◽  
...  
Keyword(s):  
Surgical Management ◽  
Hepatic Hemangioma ◽  
Giant Hepatic Hemangioma

Necrotizing Enterocolitis in the First 24 Hours of Life

PEDIATRICS ◽  
1984 ◽  
Vol 73 (4) ◽  
pp. 476-480 ◽  
Author(s):  
Elizabeth H. Thilo ◽  
Raul A. Lazarte ◽  
Jacinto A. Hernandez
Keyword(s):  
Birth Weight ◽  
Necrotizing Enterocolitis ◽  
Gestational Age ◽  
Surgical Intervention ◽  
Term Infants ◽  
Large Size ◽  
Disease Occurrence ◽  
Near Term ◽  
Degree Of Maturity ◽  
Minute Apgar Score

Necrotizing enterocolitis (NEC) is commonly thought of as occuring in the sick premature infant, usually in the first one to two weeks of life. A review of NEC at the Children's Hospital of Denver over a 5-year period, found that 13 of 79 infants (16.1%) had onset of NEC during the first day of life. These infants were larger (mean birth weight 2,624 ± 849 g), more mature (mean gestational age 37.9 ± 2.5 weeks), and less asphyxiated as judged by Apgar scores (mean five-minute score 8.15 ± 1.07) than infants with onset of NEC after the first day of life (mean birth weight 1,519 ± 586 g, mean gestational age 32.0 ± 3.5 weeks, P < .001, and mean five-minute Apgar score 6.81 ± 1.84, P < .05). Despite their large size and degree of maturity, eight of these infants (62%) showed signs of respiratory distress; four (31%) were polycythemic; four (31%) had either a partial or double-volume exchange transfusion performed; and 11 (85%) were fed prior to developing NEC. Presenting signs of disease, occurrence of sepsis (31%), requirement for surgical intervention (62%), and mortality (30%) were similar for the two groups of infants. It is suggested that term and near-term infants who have significant illness after delivery be treated more like their premature counterparts with cautious introduction of feedings after an adequate period of stabilization.

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