Orthotopic Liver Transplantation as a Rescue Therapy for
Bleeding Giant Hepatic Hemangioma: The First Case Report
in Thailand and Literature Review
Pongphob Intaraprasong MD1, Taya Kitiyakara MD1, Napat Angkathunyakul MD2, Duangkamon Prapruttam MD3,
Surasak Leelaudomlipi MD4, Suthus Sriphojanart MD4
Affiliation :
1 Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
2 Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
3 Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
4 Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Hepatic hemangioma is one of the most common benign liver tumors. Hemangiomas can occur in people of all ages but are
more commonly found in young women. Most patients have only one hemangioma, but multiple lesions are possible. The natural
history of hemangiomas is usually benign, and bleeding or rupture is very rare. The treatment for bleeding or ruptured hemangioma
includes embolization or surgery. The authors reported a case of a young female with giant bilateral hepatic hemangioma with
bleeding. The size of the hemangioma precluded resection or enucleation. Transarterial embolization of her hepatic arteries was
done but failed. She received orthotopic liver transplantation and had an uneventful post-operative course. Currently, she is doing
well. This report is the (cid:976)irst case in Thailand of liver transplantation as the rescue therapy for a patient with bleeding giant hepatic
hemangioma.
Keywords : Giant hepatic hemangioma, Liver transplantation, Bleeding
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