Pulmonary embolism due to hemangioma of segment I compressing the inferior vena cava: A Case Report

International Journal of Surgery Case Reports
Sarah WinterlandKarl J Oldhafer

Abstract

Hemangiomas are common hepatic lesions and are mostly asymptomatic. Operative removal should only be performed when the lesions are symptomatic, and removal of the hemangioma is deemed to be more beneficial than the risk of the operation itself. The multiple hemangiomas of our patient were discovered nine years before first symptoms. The patient presented with pulmonary artery embolism due to a compression of the vena cava inferior by a hemangioma in segment I. No other cause of thromboembolic events could be diagnosed. We performed surgical enucleation of the hemangioma, which resulted in the normalization of blood flow in the inferior vena cava. As the inducing factor for clot development was removed, no permanent thrombosis prophylaxis was implicated. Pulmonary embolisms owing to compression of the inferior vena cave are rare. Until now to our knowledge, pulmonary embolisms have never been described as an indication for hepatic hemangioma enucleation.

References

Apr 2, 2010·Digestive Surgery·Mark S Duxbury, O James Garden
Mar 15, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Oren ShakedK Rajender Reddy
Mar 1, 2013·Expert Review of Gastroenterology & Hepatology·Lisette T HoekstraThomas M van Gulik
Jun 8, 2018·European Surgery : ACA : Acta Chirurgica Austriaca·Margot FodorStefan Stättner
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group
Apr 26, 2019·European Journal of Gastroenterology & Hepatology·Wenfang DongLeren He

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