title: Same day arterial embolisation followed by hepatic resection for treatment of giant haemangioma.
abstract: Cavernous haemangiomas are the most common tumour of the liver; they are benign in nature and have an incidence of up to 7.3% at autopsy. Occasionally, they may cause symptoms necessitating intervention. We report the case of a woman who presented with non-specific abdominal pain and evidence of a giant hepatic haemangioma on abdominal imaging. She underwent selective hepatic arteriography with transcatheter arterial embolisation followed by same-day left hemi-hepatectomy, making an uneventful recovery. We discuss the management of giant hepatic haemangiomas and present same day transcatheter arterial embolisation prior to hepatic resection as a safe and viable treatment strategy in selected cases.
authors.affiliation: HPB, Nottingham University Hospitals, Nottingham, Nottinghamshire, UK.
authors.forename: James
authors.initials: J
authors.lastname: Bailey
authors.affiliation: Department of HPB Surgery, Queens Medical Centre, Nottingham, UK.
authors.forename: Sara
authors.initials: S
authors.lastname: Di Carlo
authors.affiliation: Royal Derby Hospital, Derby, UK.
authors.forename: James
authors.initials: J
authors.lastname: Blackwell
authors.affiliation: HPB, Nottingham University Hospitals, Nottingham, Nottinghamshire, UK.
authors.forename: Dhanny
authors.initials: D
authors.lastname: Gomez
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging*; D006392:Hemangioma, Cavernous / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome