Bailey James, Di Carlo Sara, Blackwell James, Gomez Dhanny
HPB, Nottingham University Hospitals, Nottingham, Nottinghamshire, UK.
Department of HPB Surgery, Queens Medical Centre, Nottingham, UK.
BMJ Case Rep. 2016 Feb 25;2016:bcr2015213259. doi: 10.1136/bcr-2015-213259.
Cavernous haemangiomas are the most common tumour of the liver; they are benign in nature and have an incidence of up to 7.3% at autopsy. Occasionally, they may cause symptoms necessitating intervention. We report the case of a woman who presented with non-specific abdominal pain and evidence of a giant hepatic haemangioma on abdominal imaging. She underwent selective hepatic arteriography with transcatheter arterial embolisation followed by same-day left hemi-hepatectomy, making an uneventful recovery. We discuss the management of giant hepatic haemangiomas and present same day transcatheter arterial embolisation prior to hepatic resection as a safe and viable treatment strategy in selected cases.
海绵状血管瘤是肝脏最常见的肿瘤；它们本质上是良性的，尸检发病率高达7.3%。偶尔，它们可能会引起需要干预的症状。我们报告一例女性患者，她因非特异性腹痛就诊，腹部影像学检查发现巨大肝血管瘤。她接受了选择性肝动脉造影及经导管动脉栓塞术，随后于同日进行左半肝切除术，术后恢复顺利。我们讨论了巨大肝血管瘤的治疗方法，并提出在肝切除术前进行同日经导管动脉栓塞术是某些特定病例中一种安全可行的治疗策略。
