Laparoscopic Management of Large Left Lobe Hepatic Hemangioma Presenting as Gastric Hemangioma on Radiology: A Case Report and Literature Review

Author Info

Toufic Saber Christelle Habchi Murielle El Feghaly Christina Abou-Malhab Adham Alkadri Jean Dib Marwan Haddad Raja Wakim

Corresponding Author

Raja Wakim
Head of General Surgery Department, Mount Lebanon Hospital University Medical Center, University of Balamand, Lebanon

A B S T R A C T

Hepatic cavernous hemangiomas are the most common benign tumors of the liver. They can be found incidentally in the general population in up to 20% of the cases. On the other hand, gastric hemangioma is a very rare entity. These tumors account for only 0.05% of all gastrointestinal (GI) neoplasms. Hemangiomas have no malignant transformation potential. They are detected using CT-scan or MRI. Endoscopy can play a role in the differentiation of gastric from hepatic hemangiomas. Hepatic hemangioma can be associated with portal vein thrombosis as a mass effect resultant. Surgery is recommended for the treatment of symptomatic hemangiomas or giant ones (above 10cm). Laparoscopy is recommended for symptomatic hemangiomas less than 4cm or those who harbor a vascular pedicle. Here we present a case of a 50-year-old male presenting with a history of 1 month duration of epigastric pain and 5 kilograms of weight loss diagnosed on imaging studies with gastric hemangioma and partial portal vein thrombosis. Laparoscopic approach was adopted to deal with his condition. Intra-operatively, he was found to have hepatic hemangioma of around 10cm associated with complete atrophy of the left liver lobe. Decision was taken intra-operatively to carry a laparoscopic left hepatectomy regardless of all the challenges that pose laparoscopy in general for any hepatectomy. This decision was taken due to the presence of a vascular pedicle, which was clipped for hemostatic control.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Mon 25, Jan 2021
Accepted: Mon 15, Feb 2021
Published: Thu 25, Feb 2021

Copyright

© 2023 Raja Wakim. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.COR.2021.02.06