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Spontaneous rupture of hepatic hemangioma

Fulong Hao, Xiaoli Yang, Yinsheng Tian, Wenping Wang, Minggang Ge
RATIONALE: Hepatic hemangioma, a benign liver tumor, can rarely spontaneously rupture and hemorrhage, which is then associated with significant mortality. The diagnosis of internal hemorrhage is challenging and the management is disputed. PATIENT CONCERNS: We describe the case of a 52-year-old female patient with chief complaints of fever and anemia, with no history of recent trauma. DIAGNOSES: Ultrasound suggested the possibility of a liver abscess and computed tomography (CT) examination revealed a giant space occupying lesion (SOL) (approximately 16 cm) in the right hepatic lobe, indicating a hepatic tumor or abscess...
November 2017: Medicine (Baltimore)
Qing-Hong Ke, Chun-Jun Zhang, Hai-Feng Huang
INTRODUCTION: Hemangiomas are common benign tumors of the liver. Spontaneous rupture is a rare complication, occurring most commonly in giant hemangiomas. Rupture of a hemangioma with hemoperitoneum is a serious development and can be fatal if not managed promptly.The present study reports the unique case of a man who experienced rupture and hemorrhage of a hepatic hemangioma (HH) due to perforation of the gallbladder fundus. After en block resection of the hemangioma and gallbladder using the Pringle maneuver, the patient made an uneventful recovery without complications...
February 2017: Medicine (Baltimore)
Wei Zhao, Xiao Guo, Jiahong Dong
Hepatic hemangioma, a common benign tumor of the liver, has caused great threats to the public health. Most patients have an excellent prognosis because of the benign nature of hemangioma. On some occasions, spontaneous rupture of hepatic hemangioma is rarely observed in patients. Therefore, a majority of scholars propose that surgery should be restricted to specific situations. In this case, we presented a patient with spontaneous rupture of hepatic hemangioma in our hospital. After a literature review, we summarized the management and outcome of the patient, which revealed the survival rates of the patients are satisfactory...
2015: International Journal of Clinical and Experimental Pathology
P De Beul, P Roels, G Heirwegh, A Janssen, B Claikens
Hepatic lesions are one of the possible visceral causes of spontaneous hemoperitoneum. Hepatic hemangiomas are congenital vascular malformations and are the most common benign tumours of the liver. Most cases are asymptomatic. Although they seldom rupture, it is important to diagnose them as their global mortality rate is high. An accurate diagnosis of a hemangioma as cause of a hemoperitoneum would result in correct clinical decision making and treatment.
September 2014: JBR-BTR: Organe de la Société Royale Belge de Radiologie (SRBR)
Shahana Gupta, Vikash Agarwal, Anadi Nath Acharya
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.
October 2012: Indian Journal of Surgery
P Szturz, J Kyclová, M Moulis, M Navrátil, Z Adam, J Vaníček, J Mayer
BACKGROUND: Spontaneous hepatic bleeding is a rare but potentially life-threatening complication of primary systemic amyloidosis. Although the liver is a common site of amyloid deposition, clinical presentation is usually mild or absent. CASE: We report a case of a female patient, who had been repeatedly surgically revised because of liver rupture and hemoperitoneum. Initially, the computed tomography finding was interpreted as liver hemangioma. However, based on liver biopsy, the diagnosis had to be changed to primary systemic amyloidosis, and the patient was referred to our hematooncology department...
2013: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
Lisette T Hoekstra, Matthanja Bieze, Deha Erdogan, Joris J T H Roelofs, Ulrich H W Beuers, Thomas M van Gulik
Liver hemangiomas are the most common benign liver tumors and are usually incidental findings. Liver hemangiomas are readily demonstrated by abdominal ultrasonography, computed tomography or magnetic resonance imaging. Giant liver hemangiomas are defined by a diameter larger than 5 cm. In patients with a giant liver hemangioma, observation is justified in the absence of symptoms. Surgical resection is indicated in patients with abdominal (mechanical) complaints or complications, or when diagnosis remains inconclusive...
March 2013: Expert Review of Gastroenterology & Hepatology
Wei Yi, Min Liu, Hao-Dong Cai
AIM: To evaluate the safety of lamivudine (LAM) treatment for chronic hepatitis B in early pregnancy. METHODS: A total of 92 pregnant women who received LAM treatment either before pregnancy or in early pregnancy were enrolled in this study. All of the pregnant women volunteered to take lamivudine during pregnancy and were not co-infected with hepatitis C virus, human immunodeficiency virus, cytomegalovirus, or other viruses. All infants received passive-active immunoprophylaxis with 200 IU hepatitis B immunoglobulin and three doses of 10 μg hepatitis B vaccines (0-1-6 mo) according to the guidelines for the prevention and treatment of chronic hepatitis B...
December 7, 2012: World Journal of Gastroenterology: WJG
R M Lupinacci, D Szejnfeld, J F M Farah
Hemangioma is the most common benign tumor of the liver and it is often asymptomatic. Spontaneous rupture of liver hemangiomas is a rare but potentially lethal complication. Emergent hepatic resection has been the treatment of choice but carries high operative morbidity and mortality. Recently, preoperative transcatheter arterial embolization (TAE) has been used successfully for the management of bleeding ruptured liver tumors and non-operative treatment of symptomatic giant liver hemangiomas. We report a case of spontaneous rupture of a giant hepatic hemangioma that presented with thoracic and abdominal pain and shock due to hemoperitoneum...
November 2011: Il Giornale di Chirurgia
Marcello Donati, Gregor A Stavrou, Angelo Donati, Karl J Oldhafer
BACKGROUND: The risk of spontaneous bleeding or rupture of liver hemangiomas still remains unknown. The aim of this review was to analyze the problem of spontaneous bleeding or rupture in liver hemangiomas and to identify factors leading to bleeding in these cases. METHODS: A MEDLINE search was undertaken to identify articles in English, French, German, Italian, and Spanish from 1898 to 2010. Basic data such as age and sex of patients were collected. Additional data such as risk factors or causes of rupture were also analyzed...
November 2011: Journal of Hepato-biliary-pancreatic Sciences
Ali Jangjoo, Mostafa Mehrabi Bahar, Mohsen Aliakbarian
Hemangiomas are the most common benign liver masses with a frequency of 0.4-7.3% at autopsy. They are usually discovered incidentally and a few require surgery. Spontaneous or traumatic ruptures are among indications of surgery for hemangiomas. We report a case of giant hepatic hemangioma presenting as hemoperitoneum following use of the slimming belt that underwent an emergent laparotomy. Abdominal exploration revealed that both right and left lobes of the liver were involved with giant hemangiomas. The liver was compressed by tightly packing laparotomy pads...
November 2010: Acta Medica Iranica
Marcelo Af Ribeiro, Francine Papaiordanou, Juliana M Gonçalves, Eleazar Chaib
Hepatic hemangiomas are congenital vascular malformations, considered the most common benign mesenchymal hepatic tumors, composed of masses of blood vessels that are atypical or irregular in arrangement and size. Hepatic hemangiomas can be divided into two major groups: capillary hemangiomas and cavernous hemangiomas These tumors most frequently affect females (80%) and adults in their fourth and fifth decades of life. Most cases are asymptomatic although a few patients may present with a wide variety of clinical symptoms, with spontaneous or traumatic rupture being the most severe complication...
December 27, 2010: World Journal of Hepatology
A L Santos Rodrigues, A C Silva Santana, K Carvalho Araújo, L Crociati Meguins, D Felgueiras Rolo, M Pereira Ferreira
BACKGROUND: Hemoperitoneum due to spontaneous rupture of a hepatic hemangioma is a rare and serious clinical event with a high mortality rate. CASE REPORT: 25-year-old woman under hormonal treatment for pregnancy with abdominal pain with distension followed by vomits, palpable epigastric mass and paleness of the skin and mucosas. Computed tomography of the abdomen without oral and venous contrast showed a heterogeneous and capsulated tumor of the liver. Exploratory laparotomy was carried out that revealed a large tumor occupying the gastro-hepatic site with partial rupture of the tumor's capsule with bleeding...
March 2010: Il Giornale di Chirurgia
Vaibhav Jain, Vijay Ramachandran, Rachana Garg, Sujoy Pal, Shivanand R Gamanagatti, Deep N Srivastava
Hemangioma is the most common benign tumor of liver and is often asymptomatic. Spontaneous rupture is rare but has a catastrophic outcome if not promptly managed. Emergent hepatic resection has been the treatment of choice but has high operative mortality. Preoperative transcatheter arterial embolization (TAE) can significantly improve outcome in such patients. We report a case of spontaneous rupture of giant hepatic hemangioma that presented with abdominal pain and shock due to hemoperitoneum. Patient was successfully managed by TAE, followed by tumor resection...
April 2010: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
B Vokaer, K Kothonidis, P Delatte, S De Cooman, J C Pector, G Liberale
Spontaneous rupture of a liver haemangioma is a rare but life-threatening acute clinical situation following haemorrhage within the liver, the subcapsular space and the peritoneal cavity in cases of capsular rupture. Rupture of a liver haemangioma has been reported to occur spontaneously in the majority of cases. In the past, prompt surgical treatment was recommended but was associated with high morbidity and mortality. Currently, conservative management and, in cases of recurrent haemorrhage, delayed surgery may be proposed...
November 2008: Acta Chirurgica Belgica
Timothy P Plackett, Kevin M Lin-Hurtubise
Hepatic hemangiomas are relatively common benign hepatic tumors. Historically, a concern for potential traumatic rupture has influenced clinical judgment regarding optimal treatment. However, a review of the literature fails to demonstrate spontaneous or traumatic rupture as a common phenomenon. The following case report discusses an individual patient incidentally found to have large hepatic hemangiomas on CT scan during work-up for a traumatic minimally displaced pelvic fracture from parachuting. He was admitted to the general surgery service for observation...
October 2008: Aviation, Space, and Environmental Medicine
Dena Noghrehkar, Donald Hohman, Scott Ragland
No abstract text is available yet for this article.
October 2008: European Journal of Internal Medicine
Hart Isaacs
BACKGROUND/PURPOSE: Although hepatic tumors are uncommon in the perinatal period they are associated with significant morbidity and mortality in affected patients. The purpose of this review is to focus on the fetus and neonate in an attempt to determine the various ways liver tumors differ clinically and pathologically from those found in the older child and adult and to show that certain types of tumors have a better prognosis than others. METHODS: The author conducted a retrospective review of perinatal hepatic tumors reported in the literature and of patients treated and followed up at Children's Hospital San Diego and Children's Hospital Los Angeles...
November 2007: Journal of Pediatric Surgery
K Vassiou, H Rountas, P Liakou, D Arvanitis, I Fezoulidis, K Tepetes
No abstract text is available yet for this article.
July 2007: Cardiovascular and Interventional Radiology
A Colli, M Fraquelli, S Massironi, A Colucci, S Paggi, D Conte
BACKGROUND: Benign liver tumours (haemangioma, focal nodular hyperplasia, and hepatic adenoma) have different prevalence and prognosis. Spontaneous rupture and malignant transformation can complicate hepatic adenoma. Elective surgery is controversial, and indications are represented by uncertain diagnosis, presence of symptoms, and prevention of major complications. OBJECTIVES: To assess the beneficial and harmful effects of elective surgery of benign liver tumours...
2007: Cochrane Database of Systematic Reviews
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