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Ginecología y obstetricia de México

Print version ISSN 0300-9041

Abstract

GALLARDO-GOMEZ, Fabiola; HERNANDEZ-CRUZ, Rosa Gabriela; MIRANDA-ARAUJO, Osvaldo  and  RODRIGUEZ-BOSCH, Mario Roberto. Giant hepatic hemangioma in a pregnant woman. Case report. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.3, pp.262-266.  Epub Feb 11, 2022. ISSN 0300-9041.  https://doi.org/10.24245/gom.v89i3.4550.

BACKGROUND:

The liver hemangiomas are vascular malformations and the most common benign tumors, the diagnosis is incidental from imaging studies, clinically they are asymptomatic. During pregnancy they do not represent a risk, however, with larger tumors, they have a greater risk of rupture and bleeding, so surgical intervention should be evaluated if they present them.

CLINICAL CASE:

A 36-year-old multiparous patient was admitted to prenatal care with a 21-week pregnancy and hepatomegaly 3 centimeters below the right costal ridge, asymptomatic patient. Imaging studies reported liver with hemangiomas, the largest measuring 10 x 7 x 8 cm; based on magnetic resonance imaging it was diagnosed as giant hepatic hemangiomas.

CONCLUSION:

Timely diagnosis, identification of risk factors, multidisciplinary treatment, and the support of laboratory studies allowed the diagnosis and completion of the pregnancy at term, by cesarean section.

Keywords : Liver hemangiomas; Vascular malformations; Pregnancy; Hepatomegaly; Hemangiomas; Cesarean section; Liver Neoplasms.

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