Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature

Abstract Background Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such as rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist treatment is indicated. Surgical management is the most common treatment for H...

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Main Authors: Hesameddin Eghlimi, Peyman Arasteh, Nazanin Azade
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12893-020-00801-z
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author Hesameddin Eghlimi
Peyman Arasteh
Nazanin Azade
author_facet Hesameddin Eghlimi
Peyman Arasteh
Nazanin Azade
author_sort Hesameddin Eghlimi
collection DOAJ
description Abstract Background Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such as rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist treatment is indicated. Surgical management is the most common treatment for HH. Case presentation A 38-year-old male patient was diagnosed with HH for 7 years. The initial presentation of the mass was progressive abdominal distention causing early satiety, gastro-esophageal reflux disease, vomiting, dysphagia and weight loss. Later, the patient developed bilateral lower extremity edema. Imaging with computed tomography (CT scan) showed a large mass measuring 32.4*26*3.1 cm which was considered unresectable. The patient underwent a deceased donor liver transplantation. The excised mass was 9 kg. After nine days of hospitalization the patient was discharged in good condition. Three months later, the patient was admitted due to fever and cytomegalovirus infection for which he received intravenous ganciclovir and was discharged. In the latest follow-up the patient had no liver or kidney dysfunction eight months after the transplantation. Conclusion With appropriate patient selection, liver transplantation can be considered as a treatment option for patients with huge HHs which are life-threatening and surgically unresectable.
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spelling doaj.art-7ce4de9d0bb74ecea40db0b2e0898eb32022-12-21T22:46:16ZengBMCBMC Surgery1471-24822020-06-012011610.1186/s12893-020-00801-zOrthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literatureHesameddin Eghlimi0Peyman Arasteh1Nazanin Azade2Shiraz Transplant Research Center, Shiraz University of Medical SciencesShiraz Transplant Research Center, Shiraz University of Medical SciencesShiraz Transplant Research Center, Shiraz University of Medical SciencesAbstract Background Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such as rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist treatment is indicated. Surgical management is the most common treatment for HH. Case presentation A 38-year-old male patient was diagnosed with HH for 7 years. The initial presentation of the mass was progressive abdominal distention causing early satiety, gastro-esophageal reflux disease, vomiting, dysphagia and weight loss. Later, the patient developed bilateral lower extremity edema. Imaging with computed tomography (CT scan) showed a large mass measuring 32.4*26*3.1 cm which was considered unresectable. The patient underwent a deceased donor liver transplantation. The excised mass was 9 kg. After nine days of hospitalization the patient was discharged in good condition. Three months later, the patient was admitted due to fever and cytomegalovirus infection for which he received intravenous ganciclovir and was discharged. In the latest follow-up the patient had no liver or kidney dysfunction eight months after the transplantation. Conclusion With appropriate patient selection, liver transplantation can be considered as a treatment option for patients with huge HHs which are life-threatening and surgically unresectable.http://link.springer.com/article/10.1186/s12893-020-00801-zHepatic HemangiomaLiver transplantationBenign liver neoplasmsCavernous Hemangioma
spellingShingle Hesameddin Eghlimi
Peyman Arasteh
Nazanin Azade
Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature
BMC Surgery
Hepatic Hemangioma
Liver transplantation
Benign liver neoplasms
Cavernous Hemangioma
title Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature
title_full Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature
title_fullStr Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature
title_full_unstemmed Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature
title_short Orthotopic liver transplantation for Management of a Giant Liver Hemangioma: a case report and review of literature
title_sort orthotopic liver transplantation for management of a giant liver hemangioma a case report and review of literature
topic Hepatic Hemangioma
Liver transplantation
Benign liver neoplasms
Cavernous Hemangioma
url http://link.springer.com/article/10.1186/s12893-020-00801-z
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AT peymanarasteh orthotopiclivertransplantationformanagementofagiantliverhemangiomaacasereportandreviewofliterature
AT nazaninazade orthotopiclivertransplantationformanagementofagiantliverhemangiomaacasereportandreviewofliterature