Kim JM, Chung WJ, Jang BK, Hwang JS, Kim YH, Kwon JH, Choi MS. Hemorrhagic hemangioma in the liver: A case report. World J Gastroenterol 2015; 21(23): 7326-7330 [PMID: 26109822 DOI: 10.3748/wjg.v21.i23.7326]
Corresponding Author of This Article
Dr. Woo Jin Chung, Division of Hepatology, Department of Internal Medicine, Keimyung University School of Medicine, 56 Dalsung-ro, Jung-gu, Daegu 700-712, South Korea. chung50@dsmc.or.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jun 21, 2015; 21(23): 7326-7330 Published online Jun 21, 2015. doi: 10.3748/wjg.v21.i23.7326
Hemorrhagic hemangioma in the liver: A case report
Jeong Min Kim, Woo Jin Chung, Byoung Kuk Jang, Jae Seok Hwang, Yong Hoon Kim, Jung Hyeok Kwon, Mi Sun Choi
Jeong Min Kim, Woo Jin Chung, Byoung Kuk Jang, Jae Seok Hwang, Department of Internal Medicine, Keimyung University School of Medicine, Daegu 700-712, South Korea
Yong Hoon Kim, Department of Hepatobiliary Surgery, Keimyung University School of Medicine, Daegu 700-712, South Korea
Jung Hyeok Kwon, Department of Radiology, Keimyung University School of Medicine, Daegu 700-712, South Korea
Mi Sun Choi, Department of Pathology, Keimyung University School of Medicine, Daegu 700-712, South Korea
Author contributions: Kim JM and Chung WJ wrote the manuscript and provided the original pictures; Kim YH, Kwon JH and Choi MS collected the clinical, radiological and pathologic data; Jang BK and Hwang JS reviewed the manuscript.
Ethics approval: The study was reviewed and approved by the Keimyung University Dongsan Medical Center Institutional Review Board (No. 2015-03-028).
Informed consent: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest: All authors report no financial relationships related to any products involved in this study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Woo Jin Chung, Division of Hepatology, Department of Internal Medicine, Keimyung University School of Medicine, 56 Dalsung-ro, Jung-gu, Daegu 700-712, South Korea. chung50@dsmc.or.kr
Telephone: +82-53-2507088 Fax: +82-53-2507413
Received: January 14, 2015 Peer-review started: January 16, 2015 First decision: March 10, 2015 Revised: March 25, 2015 Accepted: April 28, 2015 Article in press: April 28, 2015 Published online: June 21, 2015
Abstract
Hemangioma is the most common type of benign tumor that arises in the liver. Although rupture and hemorrhage of hepatic hemangioma are rare complications, they can be the cause of mortality. The authors report a case of hemorrhagic hepatic hemangioma: in a 54-year-old woman who was admitted with epigastric pain. She had taken oral contraceptives several weeks prior. The results of a blood examination were normal. An abdominal computed tomography scan revealed a tumor in hepatic segment 4, and a hemorrhage inside the cystic mass was suspected. The mass was removed laparoscopically to confirm the tumor properties and control the hemorrhage. The pathologic findings of the resected mass were consistent with hepatic hemangioma with intratumoral hemorrhage. The patient was discharged 8 d after the surgery, without further complications or complaints, and the patient’s condition was found to have improved during follow-up.
Core tip: Hemangioma is the most common type of benign tumor arising in the liver. Although rupture and hemorrhage of hepatic hemangioma are rare complications, they can be fatal. The authors report a case of hemorrhagic hepatic hemangioma. Compared to other benign hepatic tumor masses, the clinical importance of hemangioma can be easily overlooked. However, if the patient exhibits abdominal symptoms with a history associated with increased blood estrogen levels, a careful examination is necessary to determine whether these symptoms might be accompanied by internal hemorrhage.
