UNASSIGNED: We present the case of a 63-year-old female patient who presented with abdominal distension and pain. Barium meal examination and gastroscopy revealed a large, smooth-surfaced submucosal bulge located at the fundus of the stomach. Subsequent MRI examination identified a mass measuring approximately 6.4 x 7 cm in the left upper abdomen. Surgical intervention was planned for mass removal. However, intraoperative exploration revealed the origin of the mass to be the liver, and subsequent histopathological examination confirmed it as a hemangioma.
UNASSIGNED: We systematically summarized the characteristics of our case along with 31 previously reported cases. Giant pedunculated hepatic hemangiomas typically occur in the left lobe of the liver. Due to their atypical presentation, a combination of imaging methods such as ultrasound, CT, and/or MRI is essential for accurate diagnosis. Furthermore, surgical intervention is recommended due to the potential risks of bleeding, rupture, and torsion.
■我们介绍了一例63岁女性患者的腹胀和疼痛。钡餐检查和胃镜检查显示,表面光滑的粘膜下隆起位于胃底。随后的MRI检查发现左上腹有约6.4×7cm的肿块。计划进行手术干预以切除肿块。然而,术中探查显示肿块的来源是肝脏,随后的组织病理学检查证实为血管瘤。
■我们系统总结了我们的病例以及先前报道的31例病例的特征。巨大的带蒂肝血管瘤通常发生在肝脏的左叶。由于它们的非典型表现,超声等成像方法的组合,CT,和/或MRI对于准确诊断至关重要。此外,由于出血的潜在风险,建议进行手术干预,破裂,和扭转。