Jangjoo Ali, Mehrabi Bahar Mostafa, Aliakbarian Mohsen
Department of Surgery, Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Acta Med Iran. 2010 Nov-Dec;48(6):419-22.
Hemangiomas are the most common benign liver masses with a frequency of 0.4-7.3% at autopsy. They are usually discovered incidentally and a few require surgery. Spontaneous or traumatic ruptures are among indications of surgery for hemangiomas. We report a case of giant hepatic hemangioma presenting as hemoperitoneum following use of the slimming belt that underwent an emergent laparotomy. Abdominal exploration revealed that both right and left lobes of the liver were involved with giant hemangiomas. The liver was compressed by tightly packing laparotomy pads. After the operation, the patient was admitted to the surgical intensive care unit. Two days later, a second surgery was performed to remove the laparotomy pads. On the 6th day, the patient was discharged. One month later, to shrink the tumor, percutaneous transarterial embolization of the hepatic artery was performed.
肝血管瘤是最常见的肝脏良性肿块，尸检发现率为0.4%-7.3%。它们通常是偶然发现的，少数需要手术治疗。自发性或外伤性破裂是肝血管瘤手术的指征之一。我们报告一例巨大肝血管瘤患者，该患者在使用减肥腰带后出现腹腔积血，接受了急诊剖腹手术。腹部探查发现肝脏左右两叶均有巨大肝血管瘤。肝脏被紧紧填塞的剖腹手术垫压迫。手术后，患者被收入外科重症监护病房。两天后，进行了第二次手术取出剖腹手术垫。第6天，患者出院。一个月后，为缩小肿瘤，对肝动脉进行了经皮肝动脉栓塞术。
