Orthotopic Liver Transplantation for Giant Hepatic Hemangioma Involving the Entire Liver With Intra-Abdominal Hypertension: A Case Report.
Daniel Reis Waisberg, Jhosimar Alvarez De La Hoz, Maciana Santos Silva et al.
✦ AI-curated · Sources linked
Case in brief
A male patient with a giant hepatic hemangioma presented with progressive hepatomegaly, abdominal pain, weight loss, and pancytopenia. Due to the unresectable nature of the tumor and associated intra-abdominal hypertension, he underwent deceased-donor liver transplantation. The explanted liver weighed 8.675 kg, showing near-total replacement by hemangiomatosis. The patient had an uneventful recovery and remains well nearly 10 years post-transplant.
What made this case unusual
This case highlights the rare occurrence of a giant hepatic hemangioma involving the entire liver, necessitating liver transplantation, which is extremely uncommon.
Diagnostic / clinical pearl
Clinicians should consider liver transplantation for patients with massive hepatic hemangiomas that are symptomatic and unresectable, as surgical options may be limited.
Why it matters
This case underscores the potential for successful liver transplantation in managing severe complications from giant hepatic hemangiomas, expanding treatment options for similar cases.