What is causing the right-sided distension and pain in a liver hemangioma?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 27, 2024
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Patients with hepatic hemangioma primarily experience discomfort and pain in the upper right abdomen. Hepatic hemangioma is a benign tumor, but there is a possibility of rupture and hemorrhage, leading to hemorrhagic shock. Therefore, patients with symptomatic hepatic hemangioma should be treated promptly to prevent complications. For patients with hepatic hemangioma who experience discomfort and pain in the upper right abdomen and liver area, early surgical intervention is advised. The primary approach for surgery is interventional surgery, which can achieve better therapeutic effects. Additionally, patients with asymptomatic hepatic hemangioma still require regular follow-up with ultrasound to monitor any changes in the size of the tumor.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will the hepatic hemangioma grow back after it has been removed?

It is possible for liver hemangiomas to recur after they have been removed. Therefore, for the treatment of liver hemangiomas, minimally invasive surgery, namely interventional treatment, is mainly chosen in clinical practice, which can achieve better treatment effects. Patients with liver hemangiomas often have a benign tumor, generally without obvious discomfort, but there is a possibility of rupturing and bleeding, or even causing hemorrhagic shock. Therefore, for larger liver hemangiomas, surgical treatment should be administered as soon as possible. Interventional surgery can achieve very good treatment results, but there is still a possibility of recurrence after surgery, so regular follow-up with color Doppler ultrasound is necessary to dynamically observe changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Why is it not recommended to perform surgery on hepatic hemangiomas?

Patients with hepatic hemangioma generally do not exhibit obvious symptoms, and most cases are discovered during color Doppler ultrasound examinations. Hence, surgical treatment is not required at this time. It is possible to regularly re-examine the color Doppler ultrasound dynamics and monitor any changes in volume. However, for large hepatic hemangiomas, complications such as rupture, bleeding, and even life-threatening hemorrhagic shock may occur, leading to death. Therefore, early surgical treatment is advised for such cases. The primary method is minimally invasive surgery achieved through interventional procedures. Post-surgery, regular follow-up with color Doppler ultrasound is also necessary to dynamically observe any changes in the condition.

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Written by Yan Chun
Oncology
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What should women with hepatic hemangiomas be cautious about?

Patients with hepatic hemangiomas in women need to pay attention to the following aspects clinically. First, be cautious with physical activity and reduce the intake of too many medications to prevent damage to liver function in patients with hepatic hemangiomas. Second, for smaller hepatic hemangiomas in women, regular imaging examinations such as ultrasound and MRI can be conducted to monitor changes in the hemangiomas. Third, for larger hepatic hemangiomas, it is necessary to regularly monitor liver function changes and provide timely treatment. Fourth, the usual diet should be low in fat and high in fiber to prevent the worsening of hepatic hemangioma disease due to hyperlipidemia.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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I had a liver hemangioma removed five years ago and it still hurts a lot. What should I do?

If a patient still experiences pain five years after surgical removal of a liver hemangioma, attention should be paid, and further examinations should be completed to rule out other diseases. Generally, patients with hemangiomas do not experience significant discomfort after removal, and there are no obvious sequelae. Therefore, if discomfort occurs, it is important to conduct thorough examinations as soon as possible to identify the cause and treat it accordingly. For instance, liver diseases like cirrhosis, hepatitis, and liver cancer can all manifest as upper right abdominal pain. At this point, it is necessary to differentiate among these causes and treat accordingly. If the patient has liver cancer, early surgical removal should be performed to achieve better treatment outcomes.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will liver hemangiomas cause spots on the face?

Patients with hepatic hemangiomas generally do not experience issues with scarring. For patients with hepatic hemangiomas, liver function abnormalities typically do not occur, so there won’t be any formation of spots. If spots do appear, they are mainly due to other causes. When the hepatic hemangioma is small in size, patients generally do not exhibit noticeable symptoms and special treatment is not necessary at this stage; periodic follow-up with ultrasonography to monitor any changes in size is sufficient. However, for patients with large hepatic hemangiomas, there may be pain in the liver area, potential rupture and bleeding, and even the possibility of hemorrhagic shock; therefore, it is crucial to be vigilant and pursue surgical removal early to better improve the prognosis of the patients.