Abstract
During a 5 year period, we treated 5 patients with giant hemangioma of the liver. There were 4 women and 1 man who ranged in age from 34 to 51 years with an average age of 43.8 years. The symptoms were an abdominal mass with Kasabach-Merritt syndrome in 2 patients, an uncomfortable sensation in the upper abdomen in two patients, and pain in the right upper quadrant in one patient. All five patients underwent surgical treatment with a successful outcome. Three of the patients underwent hepatic lobectomy, one patient underwent left lateral segmentectomy with ligation of the right hepatic artery, and one patient had ligation of the left hepatic artery with radiation. In two of the patients, Kasabach-Merritt syndrome was cured promptly after hepatic lobectomy. We believe that a symptomatic giant hemangioma within one lobe should be treated by hepatectomy, but if it involves both lobes, ligation of the hepatic artery, with or without radiation, should be considered.
References
Feb 1, 1969·Radiology·R M AbramsJ Lipson
Aug 1, 1970·Annals of Surgery·Y G AdamJ G Fortner
Jul 1, 1980·Annals of Surgery·T E StarzlM L Johnson
Nov 1, 1961·Archives of Surgery·J H SEWELL, K WEISS
May 19, 1955·The New England Journal of Medicine·L M LEVITTJ YARVIS
Mar 1, 1939·Annals of Surgery·B S Ray
Citations
Jan 1, 1995·World Journal of Surgery·O FargesH Bismuth
Apr 1, 1991·Digestive Diseases and Sciences·D PateronJ P Benhamou
Jan 1, 1996·Khirurgiia·V N VecherkoP P Konoplia
Jun 19, 2008·Surgery Today·Makoto MeguroYoshihiko Maehara
Sep 23, 1998·Surgery Today·T MikamiH Kimura
Aug 1, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Yuji KumashiroKoichi Tanaka
May 1, 1987·Annals of Surgery·S I Schwartz, W C Husser
Feb 1, 1988·Annals of Surgery·R L Conter, W P Longmire
Feb 1, 1996·The Australian and New Zealand Journal of Surgery·A K ChuiA G Sheil
Jun 1, 1991·Gut·L GandolfiA Colecchia
Aug 24, 2007·AJR. American Journal of Roentgenology·J Louis HinshawFred T Lee
Apr 1, 1991·New Jersey Medicine : the Journal of the Medical Society of New Jersey·L S Zeiger
Jan 29, 2013·World Journal of Surgery·Süleyman YedibelaAristotelis Perrakis
Jul 1, 2015·Surgical Endoscopy·Xiaowu ZhangJiayin Yang
Dec 1, 2010·Journal of Hepatology·Soo Young ParkKab Chul Kim
Dec 1, 1992·Journal of Pediatric Surgery·O Doi, Y Takada
Jul 1, 1996·The British Journal of Surgery·A PietrabissaF Mosca
Oct 1, 1991·The British Journal of Surgery·M YamagataK Sugimachi
Jul 1, 1990·World Journal of Surgery·K E Hobbs
Oct 20, 2020·Clinical Hemorheology and Microcirculation·Hui-Li ZhangSong-Yuan Yu