Management of hepatic haemangioma in pregnancy

BMJ Case Rep. 2022 Jun 10;15(6):e248932. doi: 10.1136/bcr-2022-248932.

Abstract

Hepatic cavernous haemangioma is a benign tumour of vascular origin found within the liver. Often incidentally diagnosed, the management of these vascular masses is frequently determined by the size of the mass and symptoms associated with its compression of adjacent structures. Tumours >10 cm are known as giant haemangiomas and are associated with increased risks of compression symptoms, coagulopathies and haemorrhage. Known to express hormone receptors for oestrogen, intervention for these masses remains controversial in the setting of pregnancy where concerns for tumour growth and life-threatening complications are increased. Here we present the case of a woman in her 30s recently diagnosed with a giant haemangioma who is found to be pregnant, their management and a review of the literature.

Keywords: Gastrointestinal surgery; Obstetrics and gynaecology; Surgical oncology.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Hemangioma* / diagnostic imaging
  • Hemangioma* / surgery
  • Hemangioma, Cavernous* / complications
  • Hemangioma, Cavernous* / diagnostic imaging
  • Hemangioma, Cavernous* / surgery
  • Humans
  • Liver Neoplasms* / complications
  • Liver Neoplasms* / diagnostic imaging
  • Pregnancy