A Case of Giant Hepatic Hemangioma (23 cm in Long Diameter) with Severe Malnutrition and Blood Coagulopathy

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  • 高度栄養障害と血液凝固異常をきたした肝血管腫（長径23cm）の1例
  • コウド エイヨウ ショウガイ ト ケツエキ ギョウコ イジョウ オ キタシタ カン ケッカン シュ(チョウケイ 23cm)ノ 1レイ

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Abstract

<p>A 40-year-old woman presented with a one-month history of intensifying abdominal distention, right-sided abdominal pain, and poor oral intake. After abdominal ultrasonography revealed a giant liver tumor occupying the right lobe of the liver, she was referred to our hospital. Blood tests showed severe anemia, low fibrinogen level, and markedly elevated FDP and D-dimer levels. After thorough examination, a diagnosis of a giant hepatic cavernous hemangioma measuring 23 × 15 cm with intra-tumoral hemorrhage was made. She had tumor-associated malnutrition and coagulopathy, and surgery was indicated. To control intraoperative bleeding, embolization of the right hepatic artery supplying blood to the tumor was performed preoperatively, and a right tri-sectional hepatectomy was performed. After the operation, significant improvement in coagulopathy was observed, and her oral intake became good. One year after the operation, her blood tests were normalized and her nutritional status improved, and she is now under observation without recurrence.</p>

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