Hepatic hemangioma surgery
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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 (Kassabach-Merrit syndrome)
Treatment for infantile hemangioendothelioma depends on the child's growth and development. The following surgical treatments may be needed:
- Inserting a material in a blood vessel of the liver to block it (embolization).
- Tying off (ligation) a liver artery.
- Surgery to remove the tumor.
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.