Hepatic hemangioma surgery: Difference between revisions

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Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop:
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.<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:<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
* 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:
*Treatment for [[infantile hemangioendothelioma]] depends on the child's growth and development. The following surgical treatments may be needed:
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==References==
==References==
{{Reflist|1}}
{{Reflist|2}}


[[Category:Gastroenterology]]
[[Category:Gastroenterology]]

Revision as of 20:16, 26 October 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:[2]

  • Spontaneous rupture
  • Traumatic rupture with hemoperitonium
  • Intratumoral bleeding
  • Consumptive coagulopathy (Kassabach-Merrit syndrome)
  • 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. 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.
  2. 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.