Hemangioma is a common benign tumor of the liver that is usually asymptomatic. If >4 cm (giant hemangioma), it could present symptoms related to bleeding, thrombosis, comsumptive coagulopathy, or adjacent abdominal organ compression. If symptomatic surgical treatment should be considered, liver resection as well as enucleation are considered. Recurrences after surgical resection are rare. We herein present a case of woman admitted to the emergency room for acute severe respiratory distress. She had undergone 2 surgical resections of liver hemangiomas. The respiratory syndrome, as showed by chest x-ray, computed tomography scan, and nuclear magnetic resonance imaging, was related to a recurrent giant multiple hemangioma, creating a prominent compression of right lung with left mediastinal shift and left heart dislocation. It resulted in pulmonary parenchymal compression associated with reduced chest wall compliance and increased pulmonary pressure. The patient was not eligible for surgical treatment because of the disease extension and her clinical conditions. She died 6 months later from respiratory insufficiency and hypercapnic coma. © 2006 Springer Science+Business Media, Inc.

Romano, F., Messinesi, G., Tana, F., & Uggeri, F. (2007). Recurrent giant liver hemangioma causing a severe respiratory distress. DIGESTIVE DISEASES AND SCIENCES, 52(12), 3526-3529 [10.1007/s10620-006-9427-3].

Recurrent giant liver hemangioma causing a severe respiratory distress.

ROMANO, FABRIZIO;UGGERI, FRANCO
2007

Abstract

Hemangioma is a common benign tumor of the liver that is usually asymptomatic. If >4 cm (giant hemangioma), it could present symptoms related to bleeding, thrombosis, comsumptive coagulopathy, or adjacent abdominal organ compression. If symptomatic surgical treatment should be considered, liver resection as well as enucleation are considered. Recurrences after surgical resection are rare. We herein present a case of woman admitted to the emergency room for acute severe respiratory distress. She had undergone 2 surgical resections of liver hemangiomas. The respiratory syndrome, as showed by chest x-ray, computed tomography scan, and nuclear magnetic resonance imaging, was related to a recurrent giant multiple hemangioma, creating a prominent compression of right lung with left mediastinal shift and left heart dislocation. It resulted in pulmonary parenchymal compression associated with reduced chest wall compliance and increased pulmonary pressure. The patient was not eligible for surgical treatment because of the disease extension and her clinical conditions. She died 6 months later from respiratory insufficiency and hypercapnic coma. © 2006 Springer Science+Business Media, Inc.
Articolo in rivista - Articolo scientifico
liver hemangioma, respiratory distress
English
3526
3529
Romano, F., Messinesi, G., Tana, F., & Uggeri, F. (2007). Recurrent giant liver hemangioma causing a severe respiratory distress. DIGESTIVE DISEASES AND SCIENCES, 52(12), 3526-3529 [10.1007/s10620-006-9427-3].
Romano, F; Messinesi, G; Tana, F; Uggeri, F
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/4383
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