Hepatic hemangioma surgery: Difference between revisions
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{{CMG}};{{AE}}{{NM}} | {{CMG}};{{AE}}{{NM}} | ||
==Overview== | ==Overview== | ||
Elective surgical resection is recommended for all patients who develop progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | Elective surgical resection is recommended for all patients who develop progressive [[abdominal pain]] and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | ||
==Surgery== | ==Surgery== | ||
*Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop: | *Most [[hepatic hemangioma|cavernous hepatic hemangiomas]] are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop: | ||
:*Progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | :*Progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | ||
*Surgery is usually reserved for patients with:<ref name="Jr2010">{{cite journal|last1=Jr|first1=Marcelo AF Ribeiro|title=Spontaneous rupture of hepatic hemangiomas: A review of the literature|journal=World Journal of Hepatology|volume=2|issue=12|year=2010|pages=428|issn=1948-5182|doi=10.4254/wjh.v2.i12.428}}</ref> | *Surgery is usually reserved for patients with:<ref name="Jr2010">{{cite journal|last1=Jr|first1=Marcelo AF Ribeiro|title=Spontaneous rupture of hepatic hemangiomas: A review of the literature|journal=World Journal of Hepatology|volume=2|issue=12|year=2010|pages=428|issn=1948-5182|doi=10.4254/wjh.v2.i12.428}}</ref> | ||
:* Spontaneous rupture | :* Spontaneous rupture | ||
:* Traumatic rupture with hemoperitonium | :* [[Hemoperitoneum|Traumatic rupture with hemoperitonium]] | ||
:* Intratumoral bleeding | :* Intratumoral bleeding | ||
:* Consumptive coagulopathy ([[Kasabach-Merritt syndrome]]) | :* Consumptive coagulopathy ([[Kasabach-Merritt syndrome]]) | ||
Revision as of 20:10, 10 November 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]
Overview
Elective surgical resection is recommended for all patients who develop progressive abdominal pain and a size of more than 5cm.[1]
Surgery
- Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop:
- Progressive abdominal pain and a size of more than 5cm.[1]
- Surgery is usually reserved for patients with:[2]
- Spontaneous rupture
- Traumatic rupture with hemoperitonium
- Intratumoral bleeding
- Consumptive coagulopathy (Kasabach-Merritt syndrome)
- Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma.[3]
- Or when the size at the presentation is more than 15 cm.[4]
References
- ↑ 1.0 1.1 Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ; et al. (2007). "Management of liver hemangiomas according to size and symptoms". J Gastroenterol Hepatol. 22 (11): 1953–8. doi:10.1111/j.1440-1746.2006.04794.x. PMID 17914976.
- ↑ Jr, Marcelo AF Ribeiro (2010). "Spontaneous rupture of hepatic hemangiomas: A review of the literature". World Journal of Hepatology. 2 (12): 428. doi:10.4254/wjh.v2.i12.428. ISSN 1948-5182.
- ↑ "Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options". Abdomen. 2015. doi:10.14800/abdomen.908. ISSN 2378-1351.
- ↑ "Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options". Abdomen. 2015. doi:10.14800/abdomen.908. ISSN 2378-1351.