Hepatic hemangioma surgery: Difference between revisions
Jump to navigation
Jump to search
Nawal Muazam (talk | contribs) No edit summary |
Nawal Muazam (talk | contribs) No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Elective surgical resection is recommended for all patients who develop progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | Elective surgical resection is recommended for all patients who develop progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | ||
==Surgery== | ==Surgery== | ||
*Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop: | *Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop: | ||
| Line 14: | Line 13: | ||
:* Consumptive coagulopathy (Kassabach-Merrit syndrome) | :* Consumptive coagulopathy (Kassabach-Merrit syndrome) | ||
*Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma.<ref>{{cite journal|title=Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options|journal=Abdomen|year=2015|issn=23781351|doi=10.14800/abdomen.908}}</ref> | *Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma.<ref>{{cite journal|title=Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options|journal=Abdomen|year=2015|issn=23781351|doi=10.14800/abdomen.908}}</ref> | ||
*Or when the size at the presentation is more than 15 cm.<ref>{{cite journal|title=Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options|journal=Abdomen|year=2015|issn=23781351|doi=10.14800/abdomen.908}}</ref> | *Or when the size at the presentation is more than 15 cm.<ref>{{cite journal|title=Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options|journal=Abdomen|year=2015|issn=23781351|doi=10.14800/abdomen.908}}</ref> | ||
==References== | ==References== | ||
Revision as of 00:05, 10 November 2015
|
Hepatic hemangioma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hepatic hemangioma surgery On the Web |
|
American Roentgen Ray Society Images of Hepatic hemangioma surgery |
|
Risk calculators and risk factors for Hepatic hemangioma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]
Overview
Elective surgical resection is recommended for all patients who develop progressive abdominal pain and a size of more than 5cm.[1]
Surgery
- Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop:
- Progressive abdominal pain and a size of more than 5cm.[1]
- Surgery is usually reserved for patients with:[2]
- Spontaneous rupture
- Traumatic rupture with hemoperitonium
- Intratumoral bleeding
- Consumptive coagulopathy (Kassabach-Merrit syndrome)
- Hepatic hemangioma remain stable over time and surgical treatment is not recommended unless there is signs of rapidly growing hepatic hemangioma.[3]
- Or when the size at the presentation is more than 15 cm.[4]
References
- ↑ 1.0 1.1 Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ; et al. (2007). "Management of liver hemangiomas according to size and symptoms". J Gastroenterol Hepatol. 22 (11): 1953–8. doi:10.1111/j.1440-1746.2006.04794.x. PMID 17914976.
- ↑ Jr, Marcelo AF Ribeiro (2010). "Spontaneous rupture of hepatic hemangiomas: A review of the literature". World Journal of Hepatology. 2 (12): 428. doi:10.4254/wjh.v2.i12.428. ISSN 1948-5182.
- ↑ "Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options". Abdomen. 2015. doi:10.14800/abdomen.908. ISSN 2378-1351.
- ↑ "Adult hepatic hemangioma: an updated review with focus on the natural course and treatment options". Abdomen. 2015. doi:10.14800/abdomen.908. ISSN 2378-1351.