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Case Report
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| Enucleation of a five-kilograms hemangioma of the caudate lobe of the liver: A case report | ||||||
| M Abdel Wahab1, N Elghwalby1, O Fathy1, N Bisuony2, Kh Abdel Wahab3, M El Sorogy4 | ||||||
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1Gastroenterology Center, Mansoura University, Egypt.
2Pathology Department, Mansoura University, Egypt. 3Surgical oncology unit, Oncology Center- Mansoura University, Egypt. 4Gastroenterology Center, Mansoura University, Egypt. | ||||||
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| Wahab MA, N Elghwalby, O Fathy, N Bisuony, Wahab KA. Enucleation of a five-kilograms hemangioma of the caudate lobe of the liver: A case report. International Journal of Case Reports and Images 2013;4(7):358–362. |
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Abstract
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Introduction:
Although cavernous hemangioma is the most common benign tumors of the liver, caudate lobe is rare site of this type of hepatic pathology. Owing to the intricacy of the anatomy of the caudate lobe, the reports on resection of whole caudate lobe for tumor inside were seldom seen before the 1980s. This segment of the liver was always considered as the forbidden zone of hepatic surgery. Although excision of the caudate lobe has been performed with other types of hepatic resection, isolated complete removal of the caudate lobe is a technically challenging procedure.
Case Report: We report a case of a giant cavernous hemangioma of the caudate lobe of the liver which extended to the right side compressing the right lobe.The patient was complaining of dull aching dragging abdominal pain in the right hypochondrium stationary in course for eight years, and in the last two years it became progressive preventing the patient from spleeping in supine position due severe dyspnea. Abdominal imaging, including ultrasonography and dynamic triphasic computed tomography (CT) scan showed a large mass in the caudate lobe with a typical CT enhancement pattern of a hemangioma. Surgical exploration and excision of the mass was done successfully and completely. The dimensions of the mass were 35x25x15 cm and the weight was 4750 g. Conclusion: Whatever the size of caudate lobe hemangioma, it could be enculated safely. | |
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Keywords:
Caudate lobe, Giant hemangioma, Caudate lobe resection, Liver
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Author Contributions
M Abdel Wahab – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published N Elghwalby – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published O Fathy – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published N Bisuony – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Kh Abdel Wahab – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published M El Sorogy – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© M Abdel Wahab et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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