Giant hepatic capillary hemangioma, a diagnostic dilemma: case report
DOI:
https://doi.org/10.18203/2349-3933.ijam20211480Keywords:
Giant capillary hemangioma of liver, Fibrolamellar hepatocellular carcinoma, Benign hepatic tumor, Hepatic lobectomyAbstract
Hepatic Hemangiomas (HH) are benign tumors of the liver consisting of a blood-filled cavity supplied by the hepatic artery. Most of the HH are asymptomatic and are discovered incidentally during radiological imaging of various unrelated pathology. Typical capillary hemangiomas range from a few millimeters to three centimeters and are unlikely to generate any future symptomatology. However, giant liver hemangiomas (more than 10 cm) are a very rare entity and might become symptomatic, hence requiring prompt intervention. We are reporting this case to make the readers aware of the pitfalls and radiological uncertainties while interpreting vascular lesions of the liver. We reported a case of a 21-year-old female with complaint of awareness of a mass over the right upper abdomen since a period of one year which has been gradually increasing in size. On pre-operative Contrast-Enhanced Computed Tomography, features suggestive of Fibrolamellar variant of Hepatocellular Carcinoma was found which was substantiated by biochemical investigations. However, post-operative histopathological examination revealed a capillary hemangioma.
References
Noda T, Sasaki Y, Yamada T, Eguchi H, Takachi K, Noura S, et al. Adult capillary hemangioma of the liver: report of a case. Surg Today. 2005;35(9):796-9.
Ishak KG, Rabin L. Benign tumors of the liver. Med Clin North Am. 1975 Jul;59(4):995-1013.
Itai Y, Furui S, Araki T, Yashiro N, Tasaka A. Computed tomography of cavernous hemangioma of the liver. Radiology. 1980 Oct;137(1 Pt 1):149-55.
Freeny PC, Marks WM. Patterns of contrast enhancement of benign and malignant hepatic neoplasms during bolus dynamic and delayed CT. Radiology. 1986 Sep;160(3):613-8.
Romedic. Hemangiomul hepatic, 2013. Available at: https://www.romedic.ro/hemangiomul-hepatic. Accessed on 24 February 2021.
Jhuang JY, Lin LW, Hsieh MS. Adult capillary hemangioma of the liver: case report and literature review. Kaohsiung J Med Sci. 2011 Aug;27(8):344-7.
Bajenaru N, Balaban V, Săvulescu F, Campeanu I, Patrascu T. Hepatic hemangioma -review-. J Med Life. 2015;8:4-11.
Davies R. Haemorrhage after fine-needle aspiration biopsy of an hepatic haemangioma. Med J Aust. 1993 Mar 1;158(5):364.
Terriff BA, Gibney RG, Scudamore CH. Fatality from fine-needle aspiration biopsy of a hepatic hemangioma. AJR Am J Roentgenol. 1990 Jan;154(1):203-4.
Taavitsainen M, Airaksinen T, Kreula J, Päivänsalo M. Fine-needle aspiration biopsy of liver hemangioma. Acta Radiol. 1990 Jan;31(1):69-71.
Schwartz SI, Husser WC. Cavernous hemangioma of the liver. A single institution report of 16 resections. Ann Surg. 1987 May;205(5):456-65.
Koszka AJ, Ferreira FG, de Aquino CG, Ribeiro MA, Gallo AS, Aranzana EM, et al. Resection of a rapid-growing 40-cm giant liver hemangioma. World J Hepatol. 2010 Jul 27;2(7):292-4.
Vassiou K, Rountas H, Liakou P, Arvanitis D, Fezoulidis I, Tepetes K. Embolization of a giant hepatic hemangioma prior to urgent liver resection. Case report and review of the literature. Cardiovasc Intervent Radiol. 2007 Jul-Aug;30(4):800-2.
May BJ, Madoff DC. Portal vein embolization: rationale, technique, and current application. Semin Intervent Radiol. 2012 Jun;29(2):81-9.
Toro A, Mahfouz AE, Ardiri A, Malaguarnera M, Malaguarnera G, Loria F, et al. What is changing in indications and treatment of hepatic hemangiomas. A review. Ann Hepatol. 2014 Jul-Aug;13(4):327-39.
Sharpe EE, Dodd GD. Percutaneous radiofrequency ablation of symptomatic giant hepatic cavernous hemangiomas: report of two cases and review of literature. J Vasc Interv Radiol. 2012 Jul;23(7):971-5.
Rake MO, Liberman MM, Dawson JL, Evans R, Raftery EB, Laws J, et al. Ligation of the hepatic artery in the treatment of heart failure due to hepatic haemangiomatosis. Gut. 1970 Jun;11(6):512-5.
Larcher VF, Howard ER, Mowat AP. Hepatic haemangiomata: diagnosis and management. Arch Dis Child. 1981 Jan;56(1):7-14.
Noda, T, Sasaki Y, Yamada T. et al. Adult Capillary Hemangioma of the Liver: Report of a Case. Surg Today. 2005;796-9.
Bajenaru N, Balaban V, Săvulescu F, Campeanu I, Patrascu T. Hepatic hemangioma review. J Med Life. 2015;8:4-11.
