Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,

LIVER HEMANGIOMA

A liver hemangioma is a noncancerous (benign) mass in the liver. A liver hemangioma is made up of a tangle of blood vessels. Other terms for a liver hemangioma are hepatic hemangioma and cavernous hemangioma.

Most cases of liver hemangiomas are discovered during a test or procedure for some other condition. People who have a liver hemangioma rarely experience signs and symptoms and don't need treatment.

Risk Factor

A liver hemangioma usually occurs as a single abnormal collection of blood vessels that is less than about 1.5 inches (about 4 centimeters) wide. Occasionally liver hemangiomas can be larger or occur in multiples. Large hemangiomas can occur in young children but this is very rare.

 

Symptoms

In most cases, a liver hemangioma doesn't cause any signs or symptoms. In some case it may cause, pain in the upper right abdomen, feeling full after eating only a small amount of food, nausea and vomiting. However, these symptoms are nonspecific and may be due to something else, even if you have a liver hemangioma. Factors that can increase the risk that a liver hemangioma will cause signs and symptoms include: female of age between 30-50 yr, pregnancy & use of hormone replacement therapy for menopause.

Diagnosis

The following tests may be done: ultrasound, abdominal CT scan or MRI.

Complications

Most hemangioma are small (<5 cm) and remains asymptomatic. Large hemangioma can leads to alteration in internal architextuer (inflammation), alteration in coagulation (Kasabach Merritt Syndrome), bleeding or compression of adjacent structures.

Treatment

A small & symptomatic hemangioma does not need any treatment. Periodic ultrasound may be advised to look for growth.

Indications for treatment are severe symptoms, complications & inability to exclude cancer. Surgical resection is the definite treatment. Less effective options are hepatic artery embolisation (a procedures to stop blood flow to the hemangioma) or radiotherapy.

DR. AVINASH TANK

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