Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic
Hemangiomas are the most common benign primary tumors of the liver and their prevalence ranges from 0.4% to 20%. Approximately 85% of hemangiomas are clinically asymptomatic and are incidentally detected in imaging studies performed for other causes. In a very small minority of patients, nausea, vom...
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ftinonuuniv:oai:abakus.inonu.edu.tr:11616/27800 2023-05-15T18:12:51+02:00 Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic Inferior Vena Cava by a Giant Hepatic Hemangioma Akbulut, S Yilmaz, M Kahraman, A Yilmaz, S 2013 http://hdl.handle.net/11616/27800 unknown http://hdl.handle.net/11616/27800 INTERNATIONAL SURGERY 2013 ftinonuuniv 2022-03-28T19:48:18Z Hemangiomas are the most common benign primary tumors of the liver and their prevalence ranges from 0.4% to 20%. Approximately 85% of hemangiomas are clinically asymptomatic and are incidentally detected in imaging studies performed for other causes. In a very small minority of patients, nausea, vomiting, abdominal pain, distension, palpable mass, obstructive jaundice, bleeding, and signs and symptoms of Budd-Chiari syndrome may develop due to compression of bile duct, hepatic vein, portal vein, and adjacent organs. Occasionally, external compression of inferior vena cava may lead to edema and/ or indirect symptoms such as deep vein thrombosis of the lower limbs. In this report, we present a case of giant hepatic hemangioma that completely filled the right lobe of the liver. The patient presented with bilateral lower limb edema and pain. A computed tomography scan detected a 9 x 11 x 12 cm mass indicative of a hemangioma in the right lobe of the liver that compressed the inferior vena cava. The patient refused treatment initially but returned 6 months later presenting with the same symptoms. At that time, the mass had increased in size and a hepatectomy was performed, preserving the middle hepatic vein. By postoperative month 13, the swelling in the lower extremities had decreased significantly and the inferior vena cava appeared normal. C1 [Akbulut, Sami; Yilmaz, Mehmet; Yilmaz, Sezai] Inonu Univ, Fac Med, Div Liver Transplantat, Dept Surg, TR-44280 Malatya, Turkey. [Kahraman, Aysegul] Inonu Univ, Fac Med, Dept Radiol, TR-44280 Malatya, Turkey. Other/Unknown Material sami Unknown |
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Hemangiomas are the most common benign primary tumors of the liver and their prevalence ranges from 0.4% to 20%. Approximately 85% of hemangiomas are clinically asymptomatic and are incidentally detected in imaging studies performed for other causes. In a very small minority of patients, nausea, vomiting, abdominal pain, distension, palpable mass, obstructive jaundice, bleeding, and signs and symptoms of Budd-Chiari syndrome may develop due to compression of bile duct, hepatic vein, portal vein, and adjacent organs. Occasionally, external compression of inferior vena cava may lead to edema and/ or indirect symptoms such as deep vein thrombosis of the lower limbs. In this report, we present a case of giant hepatic hemangioma that completely filled the right lobe of the liver. The patient presented with bilateral lower limb edema and pain. A computed tomography scan detected a 9 x 11 x 12 cm mass indicative of a hemangioma in the right lobe of the liver that compressed the inferior vena cava. The patient refused treatment initially but returned 6 months later presenting with the same symptoms. At that time, the mass had increased in size and a hepatectomy was performed, preserving the middle hepatic vein. By postoperative month 13, the swelling in the lower extremities had decreased significantly and the inferior vena cava appeared normal. C1 [Akbulut, Sami; Yilmaz, Mehmet; Yilmaz, Sezai] Inonu Univ, Fac Med, Div Liver Transplantat, Dept Surg, TR-44280 Malatya, Turkey. [Kahraman, Aysegul] Inonu Univ, Fac Med, Dept Radiol, TR-44280 Malatya, Turkey. |
author |
Akbulut, S Yilmaz, M Kahraman, A Yilmaz, S |
spellingShingle |
Akbulut, S Yilmaz, M Kahraman, A Yilmaz, S Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic |
author_facet |
Akbulut, S Yilmaz, M Kahraman, A Yilmaz, S |
author_sort |
Akbulut, S |
title |
Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic |
title_short |
Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic |
title_full |
Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic |
title_fullStr |
Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic |
title_full_unstemmed |
Bilateral Lower Limb Edema Caused by Compression of the Retrohepatic |
title_sort |
bilateral lower limb edema caused by compression of the retrohepatic |
publishDate |
2013 |
url |
http://hdl.handle.net/11616/27800 |
genre |
sami |
genre_facet |
sami |
op_source |
INTERNATIONAL SURGERY |
op_relation |
http://hdl.handle.net/11616/27800 |
_version_ |
1766185336012013568 |