Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation : A case report

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved..

BACKGROUND: Hepatic hemangioma is the most common benign tumor of the liver. However, patients with large hemangiomas that cause compression symptoms or that are at risk of rupture may need further intervention. It is necessary to explore additional minimally invasive and personalized treatment options for hemangiomas.

CASE SUMMARY: A 47-year-old woman was diagnosed with a right hepatic hemangioma for more than 10 years. Abdominal contrast-enhanced computed tomography (CT) and contrast-enhanced ultrasound revealed that there was a large hemangioma in the right liver, with a size of approximately 95 mm × 97 mm × 117 mm. Due to the patient's refusal of surgical treatment, hepatic artery embolization was performed in the first stage. After 25 d of liver protection treatment, the liver function indexes decreased to normal levels. Then, ultrasound-guided microwave ablation of the giant hepatic hemangioma was performed. Ten days after the treatment, hepatobiliary ultrasonography showed that the hemangioma of the right liver was smaller than the previous size (the volume was reduced by approximately 30%). Then the patient was discharged from the hospital. One year after discharge, CT showed that the hepatic hemangioma had shrunk by about 80.

CONCLUSION: Transcatheter arterial embolization combined with microwave ablation is a safe and effective minimally invasive treatment for hepatic hemangioma.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

World journal of clinical cases - 9(2021), 24 vom: 26. Aug., Seite 7154-7162

Sprache:

Englisch

Beteiligte Personen:

Wang, Lie-Zhi [VerfasserIn]
Wang, Kun-Peng [VerfasserIn]
Mo, Jing-Gang [VerfasserIn]
Wang, Guo-Yu [VerfasserIn]
Jin, Chong [VerfasserIn]
Jiang, Hao [VerfasserIn]
Feng, Yi-Fu [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Case report
Hepatic hemangioma
Microwave ablation
Minimally invasive treatment
Transcatheter arterial embolization

Anmerkungen:

Date Revised 21.09.2021

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.12998/wjcc.v9.i24.7154

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33082869X