Wang XX, Dong BL, Wu B, Chen SY, He Y, Yang XJ. Giant hemangioma of the caudate lobe of the liver with surgical treatment: A case report. World J Clin Cases 2021; 9(21): 5980-5987 [PMID: 34368317 DOI: 10.12998/wjcc.v9.i21.5980]
Corresponding Author of This Article
Xiao-Jun Yang, MD, PhD, Chief Doctor, Professor, Surgeon, Department of General Surgery, Gansu Provincial Hospital, No. 204 Donggang West Road, Lanzhou 730000, Gansu Province, China. yangxjmd@aliyun.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xin-Xin Wang, Bao-Long Dong, Biao Wu, Shi-Yong Chen, Yu He, Xiao-Jun Yang, Department of General Surgery, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Xin-Xin Wang, Gansu University of Chinese Medicine, The 1st Clinical Medicine College, Lanzhou 730000, Gansu Province, China
Xiao-Jun Yang, Peoples Clinical Medicine College, Lanzhou University, Lanzhou 730000, Gansu Province, China
Xiao-Jun Yang, Gansu Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Xiao-Jun Yang, Gansu Research Center of Prevention and Control Project for Digestive Oncology, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Author contributions: Wang XX and Dong BL reviewed the literature and contributed to manuscript drafting; Wu B and Chen SY analyzed and interpreted the imaging findings; He Y reviewed the literature; Yang XJ was the patient’s surgeon, analyzed and interpreted the imaging findings and revised the manuscript; all authors issued final approval for the version to be submitted.
Supported byNational Natural Science Foundation of China, No. 81660398; Hospital Key Program of National Scientific Research Cultivation Plan, No. 19SYPYA-12.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment. Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Jun Yang, MD, PhD, Chief Doctor, Professor, Surgeon, Department of General Surgery, Gansu Provincial Hospital, No. 204 Donggang West Road, Lanzhou 730000, Gansu Province, China. yangxjmd@aliyun.com
Received: December 30, 2020 Peer-review started: December 31, 2020 First decision: April 29, 2021 Revised: May 7, 2021 Accepted: June 4, 2021 Article in press: June 4, 2021 Published online: July 26, 2021 Processing time: 202 Days and 18.9 Hours
Abstract
BACKGROUND
Caudate lobe hemangioma of the liver is relatively rare. Due to the unique anatomical location of the caudate lobe, the caudate lobectomy accounts for only 0.5% to 4% of hepatic resection, which is difficult to operate and takes a long time, and even has many postoperative complications.
CASE SUMMARY
A 34-year-old female presented with a 1 year history of intermittent pain in the right side of the waist without obvious inducement. All laboratory blood tests were within normal limits. Indocyanine green 15 min retention was rated 2.9%, and Child-Pugh was rated A. Computed tomography and magnetic resonance imaging diagnosed giant hemangioma of the caudate lobe with hemangioma of left lobe of liver. After discussion, surgical treatment was performed, which lasted 410 min, with intraoperative bleeding of about 600 mL and postoperative pathological findings of cavernous hemangioma. There were no obvious postoperative complications, and the patient was discharged 10 d after surgery.
CONCLUSION
Caudate lobectomy is difficult due to its special anatomical location. Under the condition of fully exposing the anatomy of the first porta hepatis, the second porta hepatis, the third porta hepatis, the fourth porta hepatis and middle hepatic vein and combining with the Pringle maneuver, caudate lobectomy can be performed in a precise and safe process.
Core Tip: Caudate lobe hemangioma of the liver is rare. Due to the unique anatomical location of caudate lobe, the caudate lobectomy is difficult to operate, takes a long time and has many postoperative complications. We report a case of a giant hemangioma of the caudate lobe with left lobe hemangioma with a left hemangioma in a 34-year-old female. After completing the relevant examination, the surgical treatment was performed. The patient’s condition was stable, and she was discharged 10 d after the operation. This report can help reduce the risk of controlled surgery, prevent the occurrence of postoperative complications and benefit patients.
