Chapter 51: Liver- Hepatic Hemangiomas Flashcards
1
Q
What is it?
A
Benign vascular tumor of the liver
2
Q
What is its claim to fame?
A
Most common primary benign liver tumor (up to 7% of population)
3
Q
What are the signs/symptoms?
A
- RUQ pain/mass
- bruits
4
Q
What are the possible complications?
A
- Pain
- congestive heart failure
- coagulopathy
- obstructive jaundice
- gastric outlet obstruction
- Kasabach–Merritt syndrome
- hemorrhage (rare)
5
Q
Define Kasabach–Merritt syndrome?
A
Hemangioma and thrombocytopenia and fibrinogenopenia
6
Q
How is the diagnosis made?
A
- CT scan with IV contrast
- tagged red blood scan
- MRI
- ultrasound
7
Q
Should biopsy be performed?
A
No (risk of hemorrhage with biopsy)
8
Q
What is the treatment?
A
Observation (>90%)
9
Q
What are the indications for resection?
A
- Symptoms
- hemorrhage
- cannot make a diagnosis
