Published online Nov 16, 2021. doi: 10.12998/wjcc.v9.i32.9948
Peer-review started: June 12, 2021
First decision: June 25, 2021
Revised: July 2, 2021
Accepted: September 8, 2021
Article in press: September 8, 2021
Published online: November 16, 2021
Hepatic hemolymphangioma is an extremely rare benign congenital malformation composed of cystically dilated lymphatic and blood vessels, and they have nonspecific clinical symptoms and laboratory results. In this study, hepatic hemolymphangioma with multiple hemangiomas in an elderly woman was initially reported and analyzed.
A 61-year-old female patient, with a history of hysterectomy and bilateral adnexectomy, was referred to the hepatobiliary surgery department with the complaint of multiple hepatic hemangiomas that had been diagnosed 2 years prior in a preoperative contrast-enhanced computed tomography (CECT) examination. Upon entering our hospital, no abnormal physical examination and laboratory data were found. The latest CECT revealed a new 7.0 cm × 6.2 cm cystic-solid lesion with multiple internal divisions in segment II of the liver, with delayed CECT enhancement characteristics that presented as solid parts with internal division. On the positron emission tomography (PET)/CT, no significant uptake of 18F-fluorodeoxyglucse was observed. Finally, hepatic hemolymphangioma was confirmed based on the pathological and immunohistochemical results after surgery. At 1-year follow-up, her posthepatectomy evaluation was uneventful, and she had recovered full activity. In addition, no postoperative recurrent or residual lesion was found on CECT imaging.
Hepatic hemolymphangioma with multiple hemangiomas was reported and observed by CECT and PET/CT imaging.
Core tip: To the best of our knowledge, this is the first report of hepatic hemolymphangioma with multiple hemangiomas and the associated features observed by contrast-enhanced computed tomography (CECT) and 18F-fluorodeoxyglucose positron emission tomography/computed tomography. In addition, this case was beneficial for confirming the pathogenesis of hepatic hemolymphangioma caused by surgery. Finally, posthepatectomy evaluation was uneventful, and no postoperative recurrent or residual lesion was found on CECT imaging, presenting a good prognosis.