Ward Haven, Hosseini Omid, Hashimoto Yohey, Soliman Basem
School of Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
School of Medicine, Texas Tech University Health Sciences Center, Amarillo, USA.
Cureus. 2022 May 27;14(5):e25397. doi: 10.7759/cureus.25397. eCollection 2022 May.
Hepatic hemangiomas are considered the most common benign mesenchymal hepatic tumors. Most cases are asymptomatic. However, giant hemangiomas can present with a variety of clinical presentations, with a rupture being the most catastrophic outcome. Only a few cases of ruptured perinatal hepatic hemangiomas have been reported. Accelerated growth of hepatic hemangiomas caused by increased estrogen in pregnancy, increased intra-abdominal pressure, and direct contact with a gravid uterus are possible mechanisms for increased risk of rupture during pregnancy. The safety of either non-operative or surgical treatment of symptomatic giant hemangioma during pregnancy has not been adequately investigated. We present a rare case of a 28-year-old G1P0 female at 33 weeks gestation that presented with a ruptured hepatic hemangioma treated with damage control surgery followed by nonanatomic surgical resection.
肝血管瘤被认为是最常见的肝脏间叶性良性肿瘤。大多数病例无症状。然而，巨大血管瘤可表现出多种临床表现，其中破裂是最严重的后果。仅有少数围产期肝血管瘤破裂的病例报道。孕期雌激素增加、腹内压升高以及与妊娠子宫直接接触导致肝血管瘤生长加速，可能是孕期破裂风险增加的机制。孕期有症状的巨大血管瘤非手术或手术治疗的安全性尚未得到充分研究。我们报告一例罕见病例，一名28岁、孕1产0、妊娠33周的女性，因肝血管瘤破裂接受了损伤控制手术，随后进行了非解剖性手术切除。
