Surgical Treatment of Giant Hepatic Hemangioma in a Patient with Congenital Thoracic Scoliosis: A Case Report
Author(s):
Thuan Vo Duy* and Song Huy Nguyen-Dinh
Background: Hepatic Hemangioma (HH) is the most common benign primary hepatic neoplasm, which is usually asymptomatic and does not require intervention. The definition of a Giant HH is an HH with a size of more than 5 cm and symptomatic abdominal pain due to compression of adjacent organs. In this study, we report a rare case of giant HH in a young woman with congenital thoracic scoliosis, successfully treated via primary surgical resection guided by three-dimensional (3D) simulation.
Case Report: We present the case of a 30-year-old woman who complained of various gastrointestinal symptoms occurring 4 months after the delivery of her second child. A series of examinations was done, which revealed two giant hemangiomas. The patient was planned for surgery, and the tumors were successfully resected. The patient was discharged after eight days of hospitalization without any severe complications.
Conclusions: Giant HH patient with congenital thoracic scoliosis has not been reported in previous studies, we suggest that patients with giant HH should undergo surgical treatment when the diagnosis is made to reduce symptoms and prevent the risk of traumatic or iatrogenic rupture and this operation is not affected by her thoracic scoliosis. But we should make a detailed plan before surgery to performed liver resection.
