The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

A case report of a symptomatic giant Cavernous hemangioma in a 39-year-old woman at four month of pregnancy

Document Type : Case report

Authors
Mahmoud Farhoudi 1
Ali Mokhtarifar 2
Mohsen Ali Akbarian 3
1 Professor, Department of Internal Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Associate professor, Department of Internal Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Associate Professor, Department of Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijogi.2019.12914
Abstract
Introduction:  Hemangioma is the most common benign liver tumor which is usually asymptomatic. There is no consensus on how to deal with symptomatic hemangiomas during pregnancy. In this report, a case of a symptomatic giant Cavernous Hemangioma in a 39-year-old woman at four month of pregnancy is introduced.
Case report:  A 39-year-old woman (Gravida4, para3) with a 4-month pregnancy was referred to the hospital due to pain in the epigastria and right hypochondria and nausea and vomiting. In clinical examination, a massive lesion which covered the entire upper abdominal region was palpable. Since it was symptomatic, it was successfully removed by surgery during pregnancy and Hemangioma with size of 23.5 x 16.5 cm was removed.
Conclusion: Successful surgical removal of such a giant hemangioma is rare during pregnancy.
 
Keywords
Hemangioma
Pregnancy
Surgical treatment
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 22, Issue 1
March 2019
Pages 69-72