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Spontaneous rupture of liver hemangioma: Risk factors for rupture

  • Case Reports of Interest
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

We report a case of spontaneous rupture of a giant cavernous hemangioma of the liver arising from the caudate lobe, with extrahepatic growth, in a 67-year-old man. At emergency laparotomy, partial resection of the caudate lobe was performed and the hemangioma was found to measure 13 ×12×8 cm. The patient had a 10-year history of severe asthma requiring steroid therapy. To investigate the risk factors for spontaneous rupture of hepatic hemangioma, we compared the characteristics of patients with ruptured and non-ruptured lesions showing extrahepatic growth reported in the Japanese literature. Lesions with a diameter ≥4 cm located on the surface of the liver or showing extrahepatic growth appear to have a high risk of spontaneous rupture if the patient receives steroid therapy for a coexisting disorder. Even in patients who have not received steroid therapy, hemangiomas≥7–8 cm in diameter located in the left lobe with extrahepatic growth may also have a high risk of rupture. The treatment of hepatic hemangioma should be decided on the basis of the size and the location, and on the requirement for steroid therapy.

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Authors and Affiliations

  1. Department of Surgery, Kawasaki City Hospital, 12-1 Shinkawa-dori, Kawasaki-ku, 210, Kawasaki, Japan

    Koichi Aiura, Ryo Ohshima, Kenji Matsumoto, Seiichiro Ishii, Yoshito Arisawa, Motohito Nakagawa & Katsuhiko Noga

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  1. Koichi Aiura
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  2. Ryo Ohshima
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  4. Seiichiro Ishii
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  6. Motohito Nakagawa
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  7. Katsuhiko Noga
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Aiura, K., Ohshima, R., Matsumoto, K. et al. Spontaneous rupture of liver hemangioma: Risk factors for rupture. J Hep Bil Pancr Surg 3, 308–312 (1996). https://doi.org/10.1007/BF02391033

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  • DOI: https://doi.org/10.1007/BF02391033

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