title: Postoperative severe microangiopathic hemolytic anemia associated with a giant hepatic cavernous hemangioma.
abstract: Complications related to liver hemangioma are rare. We herein describe the case of a patient with three giant cavernous hemangiomas of the liver, of which two were resected for symptoms. A significant microangiopathic hemolytic anemia occurred in the early postoperative period, leading to acute renal failure and necessitating blood transfusions. The systematic evaluation of hemolytic processes in the postoperative patient is described. Surgeons should be aware of the potential for hemolytic complications after major surgery when giant hepatic hemangiomas are present.
authors.affiliation: Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
authors.forename: Kaysie L
authors.initials: KL
authors.lastname: Banton
authors.forename: Jonathan
authors.initials: J
authors.lastname: D'Cunha
authors.forename: Noel
authors.initials: N
authors.lastname: Laudi
authors.forename: Catherine
authors.initials: C
authors.lastname: Flynn
authors.forename: Dale
authors.initials: D
authors.lastname: Hammerschmidt
authors.forename: Abhinav
authors.initials: A
authors.lastname: Humar
authors.forename: Timothy
authors.initials: T
authors.lastname: Sielaff
mesh_terms: D000743:Anemia, Hemolytic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001774:Blood Chemical Analysis; D001803:Blood Transfusion / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000473:pathology* / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000175:diagnosis*; D018570:Risk Assessment; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome; D016482:Urinalysis