A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case
Liver haemangiomas are described to be the most frequent benign liver tumours, and are mostly incidental detections in asymptomatic individuals. Giant lesions can develop symptoms, and are associated with complications. Female sex hormones, particularly estrogen, are believed to influence haemangiom...
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doaj-5eb1f62393a2455aaef65683b74eb8f02020-11-24T22:15:24ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research0973-709X2249-782X2017-10-011110QD03QD0610.7860/JCDR/2017/30052.10728A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing CaseHarsha Shailesh Gaikwad0Sheeba Marwah1Professor, Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India.Assistant Professor, Department of Obstetrics and Gynaecology, NDMC Medical College and Hindu Rao Hospital, New Delhi, India.Liver haemangiomas are described to be the most frequent benign liver tumours, and are mostly incidental detections in asymptomatic individuals. Giant lesions can develop symptoms, and are associated with complications. Female sex hormones, particularly estrogen, are believed to influence haemangioma development and progression. The optimal management of giant haemangiomas during gravidity is inadequately illustrated in literature so far. Diagnosis of a symptomatic giant haemangioma during pregnancy presents a quandary for the clinicians; besides, the safety of conservative management during pregnancy has not been comprehensively investigated. Consensus on the indications for surgical resection of asymptomatic lesions is also lacking at present. Thus, we present a case of a giant hepatic haemangioma diagnosed during pregnancy, where in timely detection and close observation, could successfully diffuse an otherwise a ticking bomb to explode; and also review the literature, with an aim of alleviating the bewilderment on management of haemangioma in pregnancy that might exist in the mind of budding gynecologists.http://jcdr.net/articles/PDF/10728/30052_CE(RA1)_F(AP)_PF1(AG_TG_AP)_PFA(PG_AP).pdfLiverManagementPregnancyVascular tumours |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Harsha Shailesh Gaikwad Sheeba Marwah |
spellingShingle |
Harsha Shailesh Gaikwad Sheeba Marwah A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case Journal of Clinical and Diagnostic Research Liver Management Pregnancy Vascular tumours |
author_facet |
Harsha Shailesh Gaikwad Sheeba Marwah |
author_sort |
Harsha Shailesh Gaikwad |
title |
A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case |
title_short |
A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case |
title_full |
A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case |
title_fullStr |
A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case |
title_full_unstemmed |
A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case |
title_sort |
successful outcome of pregnancy in hepatic haemangioma: an account of a perplexing case |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
0973-709X 2249-782X |
publishDate |
2017-10-01 |
description |
Liver haemangiomas are described to be the most frequent benign liver tumours, and are mostly incidental detections in asymptomatic individuals. Giant lesions can develop symptoms, and are associated with complications. Female sex hormones, particularly estrogen, are believed to influence haemangioma development and progression. The optimal management of giant haemangiomas during gravidity is inadequately illustrated in literature so far. Diagnosis of a symptomatic giant haemangioma during pregnancy presents a quandary for the clinicians; besides, the safety of conservative management during pregnancy has not been comprehensively investigated. Consensus on the indications for surgical resection of asymptomatic lesions is also lacking at present. Thus, we present a case of a giant hepatic haemangioma diagnosed during pregnancy, where in timely detection and close observation, could successfully diffuse an otherwise a ticking bomb to explode; and also review the literature, with an aim of alleviating the bewilderment on management of haemangioma in pregnancy that might exist in the mind of budding gynecologists. |
topic |
Liver Management Pregnancy Vascular tumours |
url |
http://jcdr.net/articles/PDF/10728/30052_CE(RA1)_F(AP)_PF1(AG_TG_AP)_PFA(PG_AP).pdf |
work_keys_str_mv |
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