Narendra Nikam, MS, FMAS, FIAGES, FBMS, FCLS, Abhijit Shah, MS, Ali Z Anwar, MS, Kushagra Rahul, MS. Sir JJ Group of Hospitals
Hemangiomas are the most common liver lesions. They are blood filled cavities lined by endothelial cells, usually supplied by the hepatic artery. The documented frequency is found to be 7% at autopsy. It is more common in adults between 30-50 years of age and is predominantly found in females, with a ratio of 5:1. Only 33 cases have been reported in the current literature.
They are usually asymptomatic. Surgical intervention is indicated in ruptured cases, intra-tumoral bleeding and coagulopathy.
The various surgical modalities for treatment include segmental resection, lobectomy or enucleation of tumour, which can be done by laparoscopy or by open surgery, with open surgery being the more commonly used modality of the two.
Here we present a case of a 45 year old female who presented with pain in abdomen in the right side. There was no significant past history or history of trauma.
Contrast enhanced CT of the abdomen and pelvis reports were significant for a highly dense fluid in the left lobe of liver..
Based on these findings, a ruptured hepatic hemangioma was suspected and patient was planned for surgery. Laparoscopic left lobe peripheral segmentectomy was done. Intra-operatively, findings have been described.
Post operatively, the patient was stable and recovered well.
It is with this experience in mind, we urge a change in Louisville statement and propose the beginning of a new criteria on which this once dreaded complication can be successfully tackled via Minimal access surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94328
Program Number: V150
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop