Giant hepatic hemangioma: An unusual cause of gastric compression

Özdemir, Egemen; Akbulut, Sami; Kutlutürk, Koray; Yılmaz, Sezai

doi:10.5152/tjg.2019.18778

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…Hepatic hemangioma is the most common benign liver tumor [ 30 – 32 ]. Some hemangiomas contain estrogen receptors and grow during pregnancy, oral contraceptive use, or Rogaine ® and/or steroid administration [ 4 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of surgery for giant hepatic hemangioma

et al. 2021

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Background The surgical indications for liver hemangioma remain unclear. Methods Data from 152 patients with hepatic hemangioma who underwent hepatectomy between 2004 and 2019 were retrospectively reviewed. We analyzed characteristics including tumor size, surgical parameters, and variables associated with Kasabach–Merritt syndrome and compared the outcomes of laparoscopic and open hepatectomy. Here, we describe surgical techniques for giant hepatic hemangioma and report on two meaningful cases. Results Most (63.8%) patients with hepatic hemangioma were asymptomatic. Most (86.4%) tumors from patients with Kasabach–Merritt syndrome were larger than 15 cm. Enucleation (30.9%), sectionectomy (28.9%), hemihepatectomy (25.7%), and the removal of more than half of the liver (14.5%) were performed through open (87.5%) and laparoscopic (12.5%) approaches. Laparoscopic hepatectomy is associated with an operative time, estimated blood loss, and major morbidity and mortality rate similar to those of open hepatectomy, but a shorter length of stay. 3D image reconstruction is an alternative for diagnosis and surgical planning for partial hepatectomy. Conclusion The main indication for surgery is giant (> 10 cm) liver hemangioma, with or without symptoms. Laparoscopic hepatectomy was an effective option for hepatic hemangioma treatment. For extremely giant hemangiomas, 3D image reconstruction was indispensable. Hepatectomy should be performed by experienced hepatic surgeons.

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Section: Discussionmentioning

confidence: 99%

Outcomes of surgery for giant hepatic hemangioma

et al. 2021

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“…They consist of clusters of blood-filled cavities, lined by endothelial cells, vascularized by the hepatic circulation [1]. These tumors, with a greater prevalence in women, are asymptomatic and detected incidentally on imaging in more than 50% of the cases [1,2]. Recent reports suggest the incidence of those tumor in the general population to go up to 20% [1].…”

Section: Introductionmentioning

confidence: 99%

“…Recent reports suggest the incidence of those tumor in the general population to go up to 20% [1]. These neoplasms have no potential for malignant transformation [1,2]. In most of the cases, they are less than 4cm in size and do not require any surgical intervention if asymptomatic [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…In most of the cases, they are less than 4cm in size and do not require any surgical intervention if asymptomatic [3,4]. These tumors tend to increase in size and thus cause mass effects on adjacent tissue [2,3]. We refer to surgical interventions in symptomatic cases, and when mass growth reaches 10cm or more [3].…”

Section: Introductionmentioning

confidence: 99%

“…We refer to surgical interventions in symptomatic cases, and when mass growth reaches 10cm or more [3]. In the latter, the tumor would be classified as giant hemangioma [2].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Management of Large Left Lobe Hepatic Hemangioma Presenting as Gastric Hemangioma on Radiology: A Case Report and Literature Review

Saber¹,

Habchi²,

Feghaly³

et al. 2021

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Hepatic cavernous hemangiomas are the most common benign tumors of the liver. They can be found incidentally in the general population in up to 20% of the cases. On the other hand, gastric hemangioma is a very rare entity. These tumors account for only 0.05% of all gastrointestinal (GI) neoplasms. Hemangiomas have no malignant transformation potential. They are detected using CT-scan or MRI. Endoscopy can play a role in the differentiation of gastric from hepatic hemangiomas. Hepatic hemangioma can be associated with portal vein thrombosis as a mass effect resultant. Surgery is recommended for the treatment of symptomatic hemangiomas or giant ones (above 10cm). Laparoscopy is recommended for symptomatic hemangiomas less than 4cm or those who harbor a vascular pedicle. Here we present a case of a 50-year-old male presenting with a history of 1 month duration of epigastric pain and 5 kilograms of weight loss diagnosed on imaging studies with gastric hemangioma and partial portal vein thrombosis. Laparoscopic approach was adopted to deal with his condition. Intra-operatively, he was found to have hepatic hemangioma of around 10cm associated with complete atrophy of the left liver lobe. Decision was taken intra-operatively to carry a laparoscopic left hepatectomy regardless of all the challenges that pose laparoscopy in general for any hepatectomy. This decision was taken due to the presence of a vascular pedicle, which was clipped for hemostatic control.

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

et al. 2020

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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.

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Giant hepatic hemangioma: An unusual cause of gastric compression

Abstract: Stem cells for pancreatitis 425 Gastric injury and bacterial overgrowth 433 The effect of visceral fat on SMA configuration 451 Antiplatelet agents in ulcerative colitis 459 Differentiation of BMSCs into intestinal ce 466 GERDOFF ® efficacy in patients with GERD

Cited by 5 publications

References 5 publications

Outcomes of surgery for giant hepatic hemangioma

Outcomes of surgery for giant hepatic hemangioma

Laparoscopic Management of Large Left Lobe Hepatic Hemangioma Presenting as Gastric Hemangioma on Radiology: A Case Report and Literature Review

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

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