Korean J Med.  2014 Oct;87(4):505-509. 10.3904/kjm.2014.87.4.505.

A Case of Giant Hemangioma of the Liver Presenting with Fever and Cough

• Lee SH
• Yoon JH
• Cheon J
• Jo SH
• Kim K
• Jin SJ
• Song YG

• KMID: 2269230
• DOI: http://doi.org/10.3904/kjm.2014.87.4.505

Abstract

Hemangioma of the liver is usually asymptomatic and incidentally discovered. However, giant hemangioma of the liver may be symptomatic, which is an indication for treatment. A 31-year-old female was admitted with a fever and 1-month history of a nonproductive cough. Her blood test results revealed thrombocytopenia, anemia, and mild coagulopathy. A giant hemangioma of the liver was the cause of her symptoms and signs, and was too large for surgical treatment. Therefore, we performed two sessions of transcatheter hepatic arterial embolization (TAE). The patient has been doing well without fever for 1 year following the second TAE procedure. Surgical resection and enucleation are the traditional treatments of choice for symptomatic giant hemangioma of the liver. However, the signs and symptoms of giant hemangioma of the liver improved by TAE in the present case. We herein report a case of complicated giant hemangioma of the liver that was partially treated by TAE and conservative management.

Keyword

Hemangioma; Liver; Fever; Cough; Hepatic Artery Embolization

MeSH Terms

Adult
Anemia
Cough*
Female
Fever*
Hemangioma*
Hematologic Tests
Humans
Liver*
Thrombocytopenia