Case report: Sclerosed hemangioma of the liver: A diagnostic challenge
Hemangiomas are the most common noncystic benign hepatic tumors and are usually incidentally discovered during routine radiological examinations. The diagnosis of hepatic hemangiomas with a typical presentation is generally easy with plain and cross-sectional imaging; however, it can be complicated...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-12-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.985849/full |
| _version_ | 1797975185119248384 |
|---|---|
| author | M. Poras M. Poras G. Katsanos A. C. Agrafiotis P. Demetter M. Pezzullo V. Lucidi |
| author_facet | M. Poras M. Poras G. Katsanos A. C. Agrafiotis P. Demetter M. Pezzullo V. Lucidi |
| author_sort | M. Poras |
| collection | DOAJ |
| description | Hemangiomas are the most common noncystic benign hepatic tumors and are usually incidentally discovered during routine radiological examinations. The diagnosis of hepatic hemangiomas with a typical presentation is generally easy with plain and cross-sectional imaging; however, it can be complicated when hemangiomas undergo histological changes such as fibrosis. Sclerosed hepatic hemangioma (SHH) is the extreme presentation of this fibrotic process. These atypical lesions can be misdiagnosed as primary hepatic malignancies or metastasis. Their diagnosis is established by histological examination. We report the case of a patient with an SHH, which was misdiagnosed as an intrahepatic cholangiocarcinoma. This article's aim is to draw attention to this infrequent pathology and underline the features of this benign tumor that could suggest its diagnosis prior to surgery to avoid unnecessary hepatic resections. |
| first_indexed | 2024-04-11T04:31:29Z |
| format | Article |
| id | doaj.art-7751c4a679104063a9f970d6f3c5c7e4 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T04:31:29Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-7751c4a679104063a9f970d6f3c5c7e42022-12-29T04:50:02ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-12-01910.3389/fsurg.2022.985849985849Case report: Sclerosed hemangioma of the liver: A diagnostic challengeM. Poras0M. Poras1G. Katsanos2A. C. Agrafiotis3P. Demetter4M. Pezzullo5V. Lucidi6Department of Abdominal Surgery, St Pierre University Hospital (Université Libre de Bruxelles), Brussels, BelgiumDepartment of Abdominal Surgery, Erasme University Hospital (Université Libre de Bruxelles), Brussels, BelgiumDepartment of Abdominal Surgery, Erasme University Hospital (Université Libre de Bruxelles), Brussels, BelgiumDepartment of Abdominal Surgery, Erasme University Hospital (Université Libre de Bruxelles), Brussels, BelgiumDepartment of Pathology, Erasme University Hospital (Université Libre de Bruxelles), Brussels, BelgiumDepartment of Radiology, Erasme University Hospital (Université Libre de Bruxelles), Brussels, BelgiumDepartment of Abdominal Surgery, Erasme University Hospital (Université Libre de Bruxelles), Brussels, BelgiumHemangiomas are the most common noncystic benign hepatic tumors and are usually incidentally discovered during routine radiological examinations. The diagnosis of hepatic hemangiomas with a typical presentation is generally easy with plain and cross-sectional imaging; however, it can be complicated when hemangiomas undergo histological changes such as fibrosis. Sclerosed hepatic hemangioma (SHH) is the extreme presentation of this fibrotic process. These atypical lesions can be misdiagnosed as primary hepatic malignancies or metastasis. Their diagnosis is established by histological examination. We report the case of a patient with an SHH, which was misdiagnosed as an intrahepatic cholangiocarcinoma. This article's aim is to draw attention to this infrequent pathology and underline the features of this benign tumor that could suggest its diagnosis prior to surgery to avoid unnecessary hepatic resections.https://www.frontiersin.org/articles/10.3389/fsurg.2022.985849/fullsclerosedsclerosinghemangiomacholangiocarcinomaliver |
| spellingShingle | M. Poras M. Poras G. Katsanos A. C. Agrafiotis P. Demetter M. Pezzullo V. Lucidi Case report: Sclerosed hemangioma of the liver: A diagnostic challenge Frontiers in Surgery sclerosed sclerosing hemangioma cholangiocarcinoma liver |
| title | Case report: Sclerosed hemangioma of the liver: A diagnostic challenge |
| title_full | Case report: Sclerosed hemangioma of the liver: A diagnostic challenge |
| title_fullStr | Case report: Sclerosed hemangioma of the liver: A diagnostic challenge |
| title_full_unstemmed | Case report: Sclerosed hemangioma of the liver: A diagnostic challenge |
| title_short | Case report: Sclerosed hemangioma of the liver: A diagnostic challenge |
| title_sort | case report sclerosed hemangioma of the liver a diagnostic challenge |
| topic | sclerosed sclerosing hemangioma cholangiocarcinoma liver |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.985849/full |
| work_keys_str_mv | AT mporas casereportsclerosedhemangiomaoftheliveradiagnosticchallenge AT mporas casereportsclerosedhemangiomaoftheliveradiagnosticchallenge AT gkatsanos casereportsclerosedhemangiomaoftheliveradiagnosticchallenge AT acagrafiotis casereportsclerosedhemangiomaoftheliveradiagnosticchallenge AT pdemetter casereportsclerosedhemangiomaoftheliveradiagnosticchallenge AT mpezzullo casereportsclerosedhemangiomaoftheliveradiagnosticchallenge AT vlucidi casereportsclerosedhemangiomaoftheliveradiagnosticchallenge |