Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India.
Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India
BMJ Case Rep. 2024 Mar 19;17(3):e257370. doi: 10.1136/bcr-2023-257370.
Liver haemangiomas are the most common benign hepatic tumours, but secondary portal hypertension resulting from haemangiomas is exceedingly uncommon. We present a case of a man in his 50s who presented with a progressively enlarging mass in the right upper abdomen. CT of the liver revealed a large hypodense lesion involving the right lobe, with two smaller lesions in the left lobe. The portal vein was compressed by the tumour, causing portal hypertension. The patient underwent right hepatectomy. Postoperatively, the patient had an uneventful course, and a 3-month follow-up demonstrated resolution of the oesophageal varices, portal gastropathy, with hypertrophy of the left lobe. This case report highlights the successful surgical management of a rare massive hepatic haemangioma causing portal hypertension with surgical resection, emphasising the potential benefits of surgical intervention with minimal complications.
肝血管瘤是最常见的肝脏良性肿瘤，但由血管瘤引起的继发性门静脉高压症极为罕见。我们报告了一例 50 多岁的男性患者，其右上腹部逐渐出现肿块。肝脏 CT 显示右叶有一个大的低密病灶，左叶有两个较小的病灶。门静脉被肿瘤压迫，导致门静脉高压。患者接受了右半肝切除术。术后，患者恢复顺利，3 个月随访显示食管静脉曲张、门脉性胃病消退，左叶增生。本病例报告强调了通过手术切除成功治疗罕见的巨大肝血管瘤引起的门静脉高压症，强调了手术干预的潜在益处，同时并发症最小化。
