Skip to main content

Advertisement

SpringerLink
Log in

Think Hemangioma Think Well: Giant Pedunculated Hepatic Cavernous Hemangioma. A Case Report

  • Imaging
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Hepatic haemangiomas are the most common benign hepatic tumour; they are usually solitary, less than 5 cm in size, and clinically silent. Giant cavernous haemangiomas are a minor subset of hepatic haemangiomas, often symptomatic due to a mass lesion, complications or compression of adjacent structures. Few of these are pedunculated—often difficult to diagnose because of their exophytic development and greater tendency towards complications through the twisting of their peduncle. We report the case of a 55-year-old woman with a giant pedunculated hepatic cavernous haemangioma causing abdominal pain, with epigastralgia mimicking a gastric stromal tumour. We discuss the diagnostic workup, focusing on the useful of computed tomography and magnetic resonance imaging findings and giving a brief report of the therapeutic management and literature review.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Semelka RC, Sofka CM. Hepatic hemangiomas. Magn Reson Imaging Clin N Am. 1997;5(2):241–53.

    CAS  PubMed  Google Scholar 

  2. Bajenaru N, Balaban V, Săvulescu F, Campeanu I, Patrascu T. Hepatic hemangioma – review. J Med Life. 2015;8(Spec Issue):4–11.

    PubMed  PubMed Central  Google Scholar 

  3. Vilgrain V, Brancatelli G. Liver hemangioma. In: Lencioni R, Cioni D, Bartolozzi C, editors. Focal liver lesions. Berlin, ISBN 3-540-64464-4: Springer; 2005. p. 101–18.

    Chapter  Google Scholar 

  4. Prasanna PM, Fredericks SE, Winn SS, Christman RA. Best cases from the AFIP: giant cavernous hemangioma. Radiographics. 2010;30(4):1139–44. https://doi.org/10.1148/rg.304095198.

    Article  PubMed  Google Scholar 

  5. Kong J, Anaya DA. A giant cavernous hemangioma of the liver extending into the pelvis. Int J Surg Case Rep. 2015;13:51–4. https://doi.org/10.1016/j.ijscr.2015.06.006.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Farai A, et al. Giant pedunculated hemangioma of the liver case. Rep Oncol. 2018;11:476–84. https://doi.org/10.1159/000490696.

    Article  Google Scholar 

  7. Krishnan V, Bajaj SK, Sethy A, Gupta N. Atypical exophytic liver mass: giant pedunculated hepatic haemangioma masquerading as a gastrointestinal stromal tumour of the gastric wall. SA J Radiol. 2019;23(1):a1697. https://doi.org/10.4102/sajr.v23i1.1697.

    Article  Google Scholar 

  8. Oak CY, Jun CH, Cho EA, et al. Hepatic hemangioma with Kasabach-Merritt syndrome in an adult patient. Korean J Gastroenterol. 2016;67:220–3. https://doi.org/10.4166/kjg.2016.67.4.220.

    Article  PubMed  Google Scholar 

  9. Vivarelli M, Gazzotti F, D’Alessandro L, Pinna AD. Image of the month. Emergency presentation of a giant pedunculated liver haemangioma. Dig Liver Dis. 2010;42(6):456. https://doi.org/10.1016/j.dld.2008.12.096.

    Article  PubMed  Google Scholar 

  10. Hobbs RD, Roses RE. Giant caudate lobe hemangioma. J Gastrointest Surg. 2017;21(11):1957–8. https://doi.org/10.1007/s11605-017-3473-3.

    Article  PubMed  Google Scholar 

  11. Danet IM, Semelka RC, Braga L, et al. Giant hemangioma of the liver: MR imaging characteristics in 24 patients. Magn Res Img. 2003;21:95–101.

    Article  Google Scholar 

  12. Esposito F, Di Serafino M, Severino R, et al. Mesenteric infantile hemangioma: diagnostic work-up. Quant Imaging Med Surg. 2018;8(2):252–6. https://doi.org/10.21037/qims.2017.09.01.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Di Serafino M, Severino R, Gioioso M, et al. Paediatric liver ultrasound: a pictorial essay. J Ultrasound. 2020 Mar;23(1):87–103. https://doi.org/10.1007/s40477-018-0352-z.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General and Emergency Radiology, “Antonio Cardarelli” Hospital, Antonio Cardarelli St 9, 80131, Naples, Italy

    Marco Di Serafino, Francesca Iacobellis, Gaspare Oliva, Luigi Barbuto, Salvatore Minelli & Luigia Romano

  2. Department of Advanced Biomedical Sciences, “Federico II” University Hospital, Naples, Italy

    Paolo Pizzicato

  3. Department of Anatomy and Pathological Histology, “Antonio Cardarelli” Hospital, Naples, Italy

    Giuseppina Marino Marsilia & Severo Campione

  4. Department of General and Specialized Surgery, “Antonio Cardarelli” Hospital, Naples, Italy

    Martino Trunfio

Authors
  1. Marco Di Serafino
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francesca Iacobellis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Paolo Pizzicato
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gaspare Oliva
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Luigi Barbuto
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Salvatore Minelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Giuseppina Marino Marsilia
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Severo Campione
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Martino Trunfio
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Luigia Romano
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

M.D.S., F.I., and P.P. performed literature review, manuscript composition, and discussion and provided patient information. M.D.S., F.I., G.O., L.B., S.M., and M.T. managed the patient and contributed to the diagnosis. G.M.M. and S.C. analysed the histological finding confirming the diagnosis. L.R. made critical revisions to the manuscript on important intellectual content. All authors critically revised the manuscript, approved the final version to be published, and agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Marco Di Serafino.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This case report was exempt from institutional review board approval since de-identified patient information was used.

Statement of Informed Consent

The patient’s name has been removed from all images and cannot be recognized in any way.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Imaging

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Di Serafino, M., Iacobellis, F., Pizzicato, P. et al. Think Hemangioma Think Well: Giant Pedunculated Hepatic Cavernous Hemangioma. A Case Report. SN Compr. Clin. Med. 2, 2911–2916 (2020). https://doi.org/10.1007/s42399-020-00642-0

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-020-00642-0

Keywords

Search

Navigation