Yong-Guang Yang1, Wei-Feng Chen1, Wei-Heng Mai1, Xiao-Fang Li2, Hong-Lian Zhou3, Li-Juan Liu4, Ming-Yi Li1. 1. Department of Hepatobiliary Surgery, The Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, People's Republic of China. 2. Department of Pathology, The Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, People's Republic of China. 3. Department of Ultrasound Diagnostics, Guangdong Province, The Affiliated Hospital of Guangdong Medical University, 57th, Renmin South Road, Xia shan District, Zhanjiang, 524001, People's Republic of China. 4. Department of Ultrasound Diagnostics, Guangdong Province, The Affiliated Hospital of Guangdong Medical University, 57th, Renmin South Road, Xia shan District, Zhanjiang, 524001, People's Republic of China. 64740052@qq.com.
Abstract
BACKGROUND: Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the rupture of hepatic hemangiomas. However, spontaneous intracapsular hemorrhages can often be neglected and poorly understood. CASE PRESENTATION: A 65-year-old man was referred to our institution with right upper quadrant pain, which had occurred suddenly and without a history of recent trauma. The blood test results were normal. Magnetic resonance imaging (MRI) of the abdomen showed a cystic mass in the right liver lobe. Considering the possibility of hepatic cystadenoma with hemorrhage, the patient underwent a right hepatic lobectomy. The pathological findings unexpectedly revealed intratumoral hemorrhage of hepatic hemangioma. The patient recovered well and was discharged eight days after surgery. CONCLUSIONS: Intracapsular hemorrhage of hepatic cavernous hemangioma is challenging to diagnose and has a high potential risk of rupture. MRI is beneficial for diagnosing subacute internal hemorrhage cases, and it is recommended to undergo surgery for patients with a definitive diagnosis.
BACKGROUND:Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the rupture of hepatic hemangiomas. However, spontaneous intracapsular hemorrhages can often be neglected and poorly understood. CASE PRESENTATION: A 65-year-old man was referred to our institution with right upper quadrant pain, which had occurred suddenly and without a history of recent trauma. The blood test results were normal. Magnetic resonance imaging (MRI) of the abdomen showed a cystic mass in the right liver lobe. Considering the possibility of hepatic cystadenoma with hemorrhage, the patient underwent a right hepatic lobectomy. The pathological findings unexpectedly revealed intratumoral hemorrhage of hepatic hemangioma. The patient recovered well and was discharged eight days after surgery. CONCLUSIONS: Intracapsular hemorrhage of hepatic cavernous hemangioma is challenging to diagnose and has a high potential risk of rupture. MRI is beneficial for diagnosing subacute internal hemorrhage cases, and it is recommended to undergo surgery for patients with a definitive diagnosis.
Entities:
Keywords:
Hepatic hemangioma; Intracapsular hemorrhage; Magnetic resonance imaging
Authors: A Prodromidou; N Machairas; Z Garoufalia; I D Kostakis; P Tsaparas; A Paspala; P Stamopoulos; G C Sotiropoulos Journal: Transplant Proc Date: 2019-01-04 Impact factor: 1.066