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Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma

Amit Sharma, Matthew Kaspar, Mohammad Siddiqui, Joohyun Kim

(Division of Transplantation Surgery, Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, VA, USA)

Am J Case Rep 2015; 16:563-567

DOI: 10.12659/AJCR.893298

BACKGROUND: Hepatic hemangioma is a congenital tumor of the mesenchymal tissues of the liver. While typically benign, these tumors can occasionally grow to sufficient size to cause a number of symptoms, including pain, severe hepatic dysfunction, or, rarely, consumptive coagulopathy. In such instances, surgical treatment may be warranted.
CASE REPORT: We present a case of a symptomatic giant hepatic hemangioma in an elderly patient who presented with impending liver failure. She was successfully treated with a combination of surgical enucleation and liver resection after preoperative arterial embolization. We also provide a brief discussion of current treatment options for giant hepatic hemangiomas.
CONCLUSIONS: Early referral to experienced surgical centers before the onset of dire complications such as severe hepatic dysfunction and liver failure is recommended.

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