Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review
Abstract Background Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the r...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-021-01666-z |
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| author | Yong-Guang Yang Wei-Feng Chen Wei-Heng Mai Xiao-Fang Li Hong-Lian Zhou Li-Juan Liu Ming-Yi Li |
| author_facet | Yong-Guang Yang Wei-Feng Chen Wei-Heng Mai Xiao-Fang Li Hong-Lian Zhou Li-Juan Liu Ming-Yi Li |
| author_sort | Yong-Guang Yang |
| collection | DOAJ |
| description | Abstract Background Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the rupture of hepatic hemangiomas. However, spontaneous intracapsular hemorrhages can often be neglected and poorly understood. Case presentation A 65-year-old man was referred to our institution with right upper quadrant pain, which had occurred suddenly and without a history of recent trauma. The blood test results were normal. Magnetic resonance imaging (MRI) of the abdomen showed a cystic mass in the right liver lobe. Considering the possibility of hepatic cystadenoma with hemorrhage, the patient underwent a right hepatic lobectomy. The pathological findings unexpectedly revealed intratumoral hemorrhage of hepatic hemangioma. The patient recovered well and was discharged eight days after surgery. Conclusions Intracapsular hemorrhage of hepatic cavernous hemangioma is challenging to diagnose and has a high potential risk of rupture. MRI is beneficial for diagnosing subacute internal hemorrhage cases, and it is recommended to undergo surgery for patients with a definitive diagnosis. |
| first_indexed | 2024-12-22T07:09:39Z |
| format | Article |
| id | doaj.art-65309e26fd7a4a5c8f68ff0d9982aa27 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-22T07:09:39Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-65309e26fd7a4a5c8f68ff0d9982aa272022-12-21T18:34:33ZengBMCBMC Gastroenterology1471-230X2021-02-012111610.1186/s12876-021-01666-zSpontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature reviewYong-Guang Yang0Wei-Feng Chen1Wei-Heng Mai2Xiao-Fang Li3Hong-Lian Zhou4Li-Juan Liu5Ming-Yi Li6Department of Hepatobiliary Surgery, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Pathology, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Ultrasound Diagnostics, Guangdong Province, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Ultrasound Diagnostics, Guangdong Province, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guangdong Medical UniversityAbstract Background Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the rupture of hepatic hemangiomas. However, spontaneous intracapsular hemorrhages can often be neglected and poorly understood. Case presentation A 65-year-old man was referred to our institution with right upper quadrant pain, which had occurred suddenly and without a history of recent trauma. The blood test results were normal. Magnetic resonance imaging (MRI) of the abdomen showed a cystic mass in the right liver lobe. Considering the possibility of hepatic cystadenoma with hemorrhage, the patient underwent a right hepatic lobectomy. The pathological findings unexpectedly revealed intratumoral hemorrhage of hepatic hemangioma. The patient recovered well and was discharged eight days after surgery. Conclusions Intracapsular hemorrhage of hepatic cavernous hemangioma is challenging to diagnose and has a high potential risk of rupture. MRI is beneficial for diagnosing subacute internal hemorrhage cases, and it is recommended to undergo surgery for patients with a definitive diagnosis.https://doi.org/10.1186/s12876-021-01666-zHepatic hemangiomaIntracapsular hemorrhageMagnetic resonance imaging |
| spellingShingle | Yong-Guang Yang Wei-Feng Chen Wei-Heng Mai Xiao-Fang Li Hong-Lian Zhou Li-Juan Liu Ming-Yi Li Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review BMC Gastroenterology Hepatic hemangioma Intracapsular hemorrhage Magnetic resonance imaging |
| title | Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review |
| title_full | Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review |
| title_fullStr | Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review |
| title_full_unstemmed | Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review |
| title_short | Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review |
| title_sort | spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma a rare case report and literature review |
| topic | Hepatic hemangioma Intracapsular hemorrhage Magnetic resonance imaging |
| url | https://doi.org/10.1186/s12876-021-01666-z |
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