Version 1
: Received: 31 August 2023 / Approved: 1 September 2023 / Online: 1 September 2023 (10:01:00 CEST)
How to cite:
Acosta Gallardo, C.; Zambudio Carrol, N.; Pérez Alonso, A.J.; Brea Gómez, E.; Villegas Herrera, M.T.; Villar del Moral, J.M. Giant Hepatic Hemangioma, a Case Report. When Hepatic Resection Is Not Enough. Preprints2023, 2023090052. https://doi.org/10.20944/preprints202309.0052.v1
Acosta Gallardo, C.; Zambudio Carrol, N.; Pérez Alonso, A.J.; Brea Gómez, E.; Villegas Herrera, M.T.; Villar del Moral, J.M. Giant Hepatic Hemangioma, a Case Report. When Hepatic Resection Is Not Enough. Preprints 2023, 2023090052. https://doi.org/10.20944/preprints202309.0052.v1
Acosta Gallardo, C.; Zambudio Carrol, N.; Pérez Alonso, A.J.; Brea Gómez, E.; Villegas Herrera, M.T.; Villar del Moral, J.M. Giant Hepatic Hemangioma, a Case Report. When Hepatic Resection Is Not Enough. Preprints2023, 2023090052. https://doi.org/10.20944/preprints202309.0052.v1
APA Style
Acosta Gallardo, C., Zambudio Carrol, N., Pérez Alonso, A.J., Brea Gómez, E., Villegas Herrera, M.T., & Villar del Moral, J.M. (2023). Giant Hepatic Hemangioma, a Case Report. When Hepatic Resection Is Not Enough. Preprints. https://doi.org/10.20944/preprints202309.0052.v1
Chicago/Turabian Style
Acosta Gallardo, C., María Trinidad Villegas Herrera and Jesús María Villar del Moral. 2023 "Giant Hepatic Hemangioma, a Case Report. When Hepatic Resection Is Not Enough" Preprints. https://doi.org/10.20944/preprints202309.0052.v1
Abstract
Hepatic hemangiomas (HH) are the most frequent benign tumors of the liver. They are usually asymptomatic and small in size. However, others can present as large tumors and can be symptomatic. In this case surgical resection is recomemend. We present a case report for treatment in our hospital.
A 48 years old male, who was brought to the emergency room complaining of vomiting and pain in the right upper quadrant that had been going on for 8 years. The examination showed a firm mass in the right hypochondrium that extended below the umbilicus. The ultrasound (US) reported severe hepatomegaly secondary to giant hypoechoic lesions. The study was completed with a computed tomography scan (CT-scan) or Magnetic resonance imaging (MRI). This case was evaluated by a multi - disciplinary team, who decided to do a liver transplant. After three months signed up on the waiting list,the patient finally received a new liver from a matched brain - dead organ donor.
In this case the surgery was completed with caval - preserving Piggy - back implant technique, without the need of a classic technique nor a veno - venous bypass. He received a transfusion of 8 units of packed red blood cells during the operation. The postoperative time passed with good evaluation. Patient went back home after 14 days in the hospital. The pathology report showed a giant multifocal hemangioma, with a size of 28 x 19 x 15 cms.
Some HH needs surgery, there are different options: simple enucleation to complete hepatectomy associating liver transplant as our case.
The correct treatment is too important, and these case have to be tried with multi - disciplinary team. This group is composed of hepatobiliary surgeons, hepatologists and anesthetists. The bleeding massive risk is large, so it is necessary to know the clasic surgery technique.
Keywords
liver transplant; tumor liver
Subject
Medicine and Pharmacology, Gastroenterology and Hepatology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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