Hemoperitoneum from a Spontaneous Rupture of a Giant Hemangioma of the Liver: Report of a Case

Corigliano, Nicola; Mercantini, Paolo; Amodio, Pietro Maria; Balducci, Genoveffa; Caterino, Salvatore; Ramacciato, Giovanni; Ziparo, Vincenzo

doi:10.1007/s10595-002-2514-z

Cited by 73 publications

(64 citation statements)

References 16 publications

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“…Use The most recent of the 34 published reports of spontaneous rupture appeared in 2008 [7]. In a review of 27 cases [5] which includes 17 females and 9 males, (age 15-73 years, average 48.2), lesion was found in right lobe in 14, in left in 10, in both lobes in 1. Tumour size range from 3 cm to the whole of right hepatic lobe; 16 of 19 tumours of known size were giant hemangiomas (mean diameter 14.8 cm, range 6-25 cm).…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Rupture of a Giant Hepatic Hemangioma-Report of a Case

Gupta

Agarwal

Acharya³

2011

Indian J Surg

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Hemangioma is the commonest benign hepatic neoplasm. Most cases are asymptomatic. Spontaneous rupture is rare (1-4%). Only 34 cases have been reported in adults. None had history of trauma. We report a case, the first from India of spontaneous rupture of a giant hepatic hemangioma, in a 25 year old male presenting with acute abdomen. He underwent right hepatectomy. Histopathology suggested cavernous hemangioma.

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Section: Discussionmentioning

confidence: 99%

“…PubMed Medline search identifies 34 cases of spontaneous rupture of hepatic hemangioma in adults (>14 year age) without a history of trauma [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Rupture of a Giant Hepatic Hemangioma-Report of a Case

Gupta

Agarwal

Acharya³

2011

Indian J Surg

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“…The management of a large (i. e, >10 cm) hepatic haemangioma is controversial .However, a literature search identified only 32 published cases of spontaneous rupture in adults without a history of trauma [1,6,8,12,15,[19][20][21][22][23][24][25][26][27][28][29][30]. However, actual radiological documented before and after ruptured are not well documented.…”

Section: Spontaneous Rupture Of Livermentioning

confidence: 99%

Spontaneous Rupture of Liver Haemangioma-A Case Report & Review of Literature

Islam¹,

Naraynsingh²

2014

Surgery

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A 31yrs old female patient presented with three day history of sudden right upper quadrant pain which progressively worsened over the last 24 hours. She is a known asthmatic controlled by Nasacort inhaler and also a known case of polycystic ovary diseases using oral contraceptive pills over the last 9 years.On physical examination revealed a young female in mild painful distress. Her mucous membrane was pink and moist. She was warm to touch with a temperature of 38.4°C and her vitals were within normal limit. Abdominal examination revealed moderate tenderness in right upper quadrant with mild guarding but no rebound tenderness.An USS of abdomen revealed a normal gall bladder with no peri-cholecystic fluids or gall stones with a normal CBD. However, a 7.77 x 9.42 cm cystic mass was noted in right lobe of liver and there was no free fluid ( Figure 1). A CXR revealed right basal consolidation. Her WBC was elevated 26.2 and she was also anaemic with an Hb of 11 mg/dl. Her renal function as well as electrolytes were within normal limit, however her liver enzymes were elevated AST-600, ALT-1900, ALP-238, GGT-166 with normal serum bilirubin and amylase level.After 24 hours her pain became severe and she became tachycardic with a pulse of 130 bpm with persistently elevated temperature (38.0°C). Her blood pressure and Spo2 was normal. There was decreased air entry at right lung base. Abdominal examination revealed marked tenderness with guarding but no rebound tenderness and there was sluggish bowel sound. Patient Hb had dropped from 10 gm/dl to 8 gm/dl. An Urgent CT scan of abdomen and pelvis with intravenous contrast revealed that the cyst (haemangioma) has ruptured with free fluid (blood) in Morrison pouch and in right Para-colic gutter (Figure 2). Subsequently patient developed moderate respiratory distress and was reviewed by medicine specialist. A Spiral CT of the chest-revealed mild right pleural effusion with fluid in oblique fissure but no evidence of pulmonary embolism. An MRI of abdomen was also performed which reconfirm the ruptured hepatic haemangioma. Patient was admitted in HDU and was managed successfully and discharged home on day-12.Patient had a high ESR of 39 and her liver function test became normal. Her serum alpha fetoprotein, CEA, Ca 19-9, anti-nuclear DNA levels were within normal limit. DiscussionHemangioma is the most common benign tumour affecting the liver [1,2]. Hepatic haemangioma are mesenchymal in origin and usually are solitary. Haemangioma are composed of masses of blood vessels that are atypical or irregular in arrangement and size. Exact aetiology remains unknown [3][4][5].Several pharmacologic agents have been postulated to promote tumour growth. Steroid therapy [6], oestrogen therapy, and pregnancy [7,8] can increase the size of an already existing hemangioma. Our patient was on inhalational steroid therapy for her asthmatic condition and was also on oral contraceptive pills for her polycystic ovarian disease.Incidence rate 2% in USA & the prevalence rate at necropsy is 7.4%, usual...

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“…Além disso, evita-se ressecção de parênquima viáve 6 . A pseudocápsula criada pela compressão do parênquima adjacente permite a enucleação de forma mais segura 4 .…”

Section: Relato Do Casounclassified

“…Há 32 casos descritos na literatura de hemangioma hepático roto 4,7 . Por esta razão tem-se o objetivo de relatar um caso nessa condição.…”

Section: Introductionunclassified

Hemangioma hepático gigante roto

Amaral¹,

Santana²,

Menezes-Junior³

et al. 2009

ABCD, arq. bras. cir. dig.

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INTRODUÇÃO: Ruptura por hemangioma hepático é rara e há somente 32 casos descritos na literatura. RELATO DO CASO: Homem com 39 anos foi admitido com dor abdominal em hipocôndrio direito de início súbito associado à lipotímia. A investigação inicial demonstrou hemangioma hepático gigante (7x13 cm) em lobo direito associado a sinais de sangramento recente. Com o intuito de minimizar possibilidade de sangramento no intra-operatório, foi realizado embolização da artéria hepática direita. A operação transcorreu sem intercorrências, sem necessidade de hemotransfusão no intra-operatório. A transecção foi realizada com grampeador linear cortante de 75 mm. O tempo de internação foi de 13 dias. CONCLUSÃO: Procedimento cirúrgico é mandatório para hemangioma hepático roto, e a embolização é eficiente para controlar o sangramento e preparar melhor o paciente para a operação.

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Hemoperitoneum from a Spontaneous Rupture of a Giant Hemangioma of the Liver: Report of a Case

Cited by 73 publications

References 16 publications

Spontaneous Rupture of a Giant Hepatic Hemangioma-Report of a Case

Spontaneous Rupture of a Giant Hepatic Hemangioma-Report of a Case

Spontaneous Rupture of Liver Haemangioma-A Case Report & Review of Literature

Hemangioma hepático gigante roto

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