Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection

Hepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver hemangiomas (>5 cm). We present the case of a patient with a rapidly enlarging giant hepatic hemangioma ini...

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Main Authors: Alvin Chang, Brianna Ruch, Aamir Khan, Marlon Levy, Amit Sharma
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2020/5923787
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author Alvin Chang
Brianna Ruch
Aamir Khan
Marlon Levy
Amit Sharma
author_facet Alvin Chang
Brianna Ruch
Aamir Khan
Marlon Levy
Amit Sharma
author_sort Alvin Chang
collection DOAJ
description Hepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver hemangiomas (>5 cm). We present the case of a patient with a rapidly enlarging giant hepatic hemangioma initially managed by surveillance. During her observation period, she developed weight loss, constipation, and pancytopenia concerning for Kasabach-Merritt Syndrome. Resection of the hemangioma was complicated by its large size (28.0×18.0×11.4 cm). Patients with rapidly growing giant liver hemangiomas, even when asymptomatic, should be promptly referred to specialized surgical centers for evaluation and management.
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language English
publishDate 2020-01-01
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series Case Reports in Surgery
spelling doaj-art-3616d8df42434dddb46b68158b981aa82025-08-20T02:08:15ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/59237875923787Giant Liver Hemangiomas: A Plea for Early Surgical Referral and ResectionAlvin Chang0Brianna Ruch1Aamir Khan2Marlon Levy3Amit Sharma4School of Medicine and Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, Virginia 23298, USASchool of Medicine and Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, Virginia 23298, USASchool of Medicine and Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, Virginia 23298, USASchool of Medicine and Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, Virginia 23298, USASchool of Medicine and Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, Virginia 23298, USAHepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver hemangiomas (>5 cm). We present the case of a patient with a rapidly enlarging giant hepatic hemangioma initially managed by surveillance. During her observation period, she developed weight loss, constipation, and pancytopenia concerning for Kasabach-Merritt Syndrome. Resection of the hemangioma was complicated by its large size (28.0×18.0×11.4 cm). Patients with rapidly growing giant liver hemangiomas, even when asymptomatic, should be promptly referred to specialized surgical centers for evaluation and management.http://dx.doi.org/10.1155/2020/5923787
spellingShingle Alvin Chang
Brianna Ruch
Aamir Khan
Marlon Levy
Amit Sharma
Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection
Case Reports in Surgery
title Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection
title_full Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection
title_fullStr Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection
title_full_unstemmed Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection
title_short Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection
title_sort giant liver hemangiomas a plea for early surgical referral and resection
url http://dx.doi.org/10.1155/2020/5923787
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AT briannaruch giantliverhemangiomasapleaforearlysurgicalreferralandresection
AT aamirkhan giantliverhemangiomasapleaforearlysurgicalreferralandresection
AT marlonlevy giantliverhemangiomasapleaforearlysurgicalreferralandresection
AT amitsharma giantliverhemangiomasapleaforearlysurgicalreferralandresection