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CASE REPORT A 45 year old female with a history of systemic lupus erythematosus on immunosuppression, presented to our center for evaluation of giant cavernous hepatic hemangiomas. She was first diagnosed with these at the time of her second child’s birth 12 years previously. While initially asymptomatic, she had gradually developed abdominal distension and progressive discomfort, back pain, early satiety and fatigue. At presentation, she was anemic, with a hemoglobin of 7.2 g/dL. Magnetic resonance imaging of the abdomen showed multiple extremely large hepatic cavernous hemangiomas resulting in marked hepatomegaly. The liver completely occupied the upper abdomen with displacement of both kidneys and the spleen inferiorly. Despite significant mass effect, the pancreas and kidneys appear normal. The liver extended along the anterior margin of the stomach and displaced both the stomach and pancreas posteriorly and inferiorly. The right lobe of the liver extended into the right pelvis, with a few small hemangiomas measuring 2 to 3 cm in the inferior segments. The largest hemangioma replaced the left lobe of the liver and measured approximately 22 x 16 x 29 cm. Small hemangiomas were also present in the spleen.

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2016-06-23   |   253 visitas   |   Evalua este artículo 0 valoraciones

Vol. 15 Núm.4. Julio-Agosto 2016 Pags. 586-587 Ann Hepatol 2016; 15(4)