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Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review

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 o...

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Autores principales: Yang, Yong-Guang, Chen, Wei-Feng, Mai, Wei-Heng, Li, Xiao-Fang, Zhou, Hong-Lian, Liu, Li-Juan, Li, Ming-Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903738/
https://www.ncbi.nlm.nih.gov/pubmed/33622256
http://dx.doi.org/10.1186/s12876-021-01666-z
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author Yang, Yong-Guang
Chen, Wei-Feng
Mai, Wei-Heng
Li, Xiao-Fang
Zhou, Hong-Lian
Liu, Li-Juan
Li, Ming-Yi
author_facet Yang, Yong-Guang
Chen, Wei-Feng
Mai, Wei-Heng
Li, Xiao-Fang
Zhou, Hong-Lian
Liu, Li-Juan
Li, Ming-Yi
author_sort Yang, Yong-Guang
collection PubMed
description 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.
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spelling pubmed-79037382021-03-01 Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review Yang, Yong-Guang Chen, Wei-Feng Mai, Wei-Heng Li, Xiao-Fang Zhou, Hong-Lian Liu, Li-Juan Li, Ming-Yi BMC Gastroenterol Case Report 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. BioMed Central 2021-02-23 /pmc/articles/PMC7903738/ /pubmed/33622256 http://dx.doi.org/10.1186/s12876-021-01666-z Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Yang, Yong-Guang
Chen, Wei-Feng
Mai, Wei-Heng
Li, Xiao-Fang
Zhou, Hong-Lian
Liu, Li-Juan
Li, Ming-Yi
Spontaneous intracapsular hemorrhage of a giant hepatic cavernous hemangioma: a rare case report and literature review
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903738/
https://www.ncbi.nlm.nih.gov/pubmed/33622256
http://dx.doi.org/10.1186/s12876-021-01666-z
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