title: Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma.
abstract: BACKGROUND
  Hepatic hemangioma is a congenital tumor of the mesenchymal tissues of the liver. While typically benign, these tumors can occasionally grow to sufficient size to cause a number of symptoms, including pain, severe hepatic dysfunction, or, rarely, consumptive coagulopathy. In such instances, surgical treatment may be warranted.
  
  
  METHODS
  We present a case of a symptomatic giant hepatic hemangioma in an elderly patient who presented with impending liver failure. She was successfully treated with a combination of surgical enucleation and liver resection after preoperative arterial embolization. We also provide a brief discussion of current treatment options for giant hepatic hemangiomas.
  
  
  CONCLUSIONS
  Early referral to experienced surgical centers before the onset of dire complications such as severe hepatic dysfunction and liver failure is recommended.
authors: Division of Transplantation Surgery, Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, VA, USA.
authors: Amit
authors: A
authors: Sharma
authors: Division of Transplantation Surgery, Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, VA, USA.
authors: Matthew
authors: M
authors: Kaspar
authors: Division of Transplantation Surgery, Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, VA, USA.
authors: Mohammad
authors: M
authors: Siddiqui
authors: Division of Transplantation Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
authors: Joohyun
authors: J
authors: Kim
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006391:Hemangioma / Q000150:complications / Q000473:pathology / Q000628:therapy*; D006498:Hepatectomy; D006801:Humans; D017093:Liver Failure / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008113:Liver Neoplasms / Q000150:complications / Q000473:pathology / Q000628:therapy*