ヤマシタ　シンゴ   YAMASHITA Shingo   山下　信吾    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	症例報告
言語種別	英語
査読の有無	査読なし
表題	Debulking of giant liver hemangiomas with severe symptoms: a case report.
掲載誌名	正式名：Surgical case reports 略　 称：Surg Case Rep ISSNコード：21987793/21987793
掲載区分	国外
巻・号・頁	6(1),pp.195
著者・共著者	ARIIZUMI Shunichi†, KOTERA Yoshihito, YAMASHITA Shingo, OMORI Akiko, KATO Takaaki, SHIBUYA Go, EGAWA Hiroto, YAMAMOTO Masakazu*
発行年月	2020/08
概要	BACKGROUND:There are no previous reports of debulking of giant liver hemangioma. This report describes our experience with debulking surgery for a patient with bilateral giant liver hemangiomas with severe symptoms.CASE PRESENTATION:We present a case of symptomatic giant liver hemangioma in a 41-year-old woman. She presented with abdominal pain and fullness at a local hospital and underwent trans-arterial embolization (TAE). TAE was not effective, and she was not able to walk a long distance. Giant liver hemangiomas, 30 cm and 15 cm in diameter, were located in the right liver and in the left lateral section, respectively, and normal liver parenchyma with tiny liver hemangiomas was present in segment 4. The liver function was normal. However, right hemi-hepatectomy with left lateral sectionectomy was considered to be risky according to the 3DCT volumetry. Therefore, we performed right hemi-hepatectomy in order to reduce her symptoms. The postoperative course was uneventful, and she was discharged on the 14th day after surgery. The abdominal fullness and abdominal pain disappeared immediately after surgery. The hemangiomas in the remnant liver, 15 cm in diameter, showed no change, and she is well without symptoms 7 years after surgery.CONCLUSIONS:Debulking surgery is one of the options for bilateral giant liver hemangiomas with severe symptoms.
DOI	10.1186/s40792-020-00960-4
PMID	32748049