Published online Jul 26, 2021. doi: 10.12998/wjcc.v9.i21.5980
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
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.
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 post
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.