Postoperative severe microangiopathic hemolytic anemia associated with a giant hepatic cavernous hemangioma.
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.
Banton
Kaysie L
KL
Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
D'Cunha
Jonathan
J
Laudi
Noel
N
Flynn
Catherine
C
Hammerschmidt
Dale
D
Humar
Abhinav
A
Sielaff
Timothy
T
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