Zhai Lu-Lu, Ju Tong-Fa, Zhou Chun-Hua, Xie Qi
Department of General Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Department of General Surgery, Hangzhou First People's Hospital, Nanjing Medical University, Hangzhou, People's Republic of China.
J Int Med Res. 2019 Sep;47(9):4514-4521. doi: 10.1177/0300060519866624. Epub 2019 Aug 20.
Hepatic hemangioma is a frequent nonmalignant tumor in the human liver. Although rupture of hepatic hemangioma is a rare complication, it may have serious consequences. In this report, we describe a 56-year-old woman who underwent laparoscopic surgery and open surgery for sudden abdominal pain and peritonitis. Gastrointestinal perforation was prioritized before surgery according to the patient’s symptoms, signs, and radiological report. A giant dark red mass connected to the left liver by a pedicle was unexpectedly found during intraoperative exploration. Hemoperitoneum was also found. Conversely, no gastrointestinal perforation was found during intraoperative exploration. The mass was successfully removed, and the hemoperitoneum was resolved. Postoperative pathological examination showed that the mass was a hepatic hemangioma. Ultimately, the patient was diagnosed with spontaneous rupture of a giant hepatic hemangioma.
肝血管瘤是人类肝脏中常见的非恶性肿瘤。虽然肝血管瘤破裂是一种罕见的并发症，但可能会产生严重后果。在本报告中，我们描述了一名56岁女性，她因突发腹痛和腹膜炎接受了腹腔镜手术和开放手术。根据患者的症状、体征和影像学报告，术前优先考虑胃肠道穿孔。术中探查意外发现一个通过蒂与左肝相连的巨大暗红色肿块。还发现了腹腔积血。相反，术中探查未发现胃肠道穿孔。肿块被成功切除，腹腔积血得到缓解。术后病理检查显示肿块为肝血管瘤。最终，患者被诊断为巨大肝血管瘤自发性破裂。
