Symptoms of deteriorating hepatic hemangioma

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 19, 2024
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When deterioration occurs in liver blood vessels, it primarily manifests as rupture and bleeding of hepatic hemangiomas, which can lead to hemorrhagic shock, and even cause death.

Of course, in the early stages of the disease, patients may only experience discomfort and pain in the upper right abdomen. As the bleeding increases, the pain becomes significant, and clinical symptoms such as decreased blood pressure and increased heart rate may occur. Therefore, it is important to pay close attention to patients with large hepatic hemangiomas and perform surgery as early as possible for a definitive cure. Moreover, postoperative attention is still needed. Patients should avoid injuries, follow a light diet primarily, eat more fresh vegetables and fruits, and reduce the burden on the liver to better facilitate recovery from the condition.

Other Voices

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Written by Li Hu Chen
Imaging Center
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Can liver hemangioma be definitively diagnosed by ultrasound?

If there is a hemangioma on the liver, it can generally be diagnosed through an ultrasound of the liver and biliary system. This is because hemangiomas have some characteristic appearances on ultrasound imaging. First, it's essential to understand the structure of the liver hemangioma which can be roughly considered as sponge-like, with a structure similar to a sponge containing many fine structures. When ultrasound is applied, this sponge-like structure will demonstrate strong echogenicity, appearing as a large mass with medium to strong echogenic responses. Thus, it is quite evident on ultrasound and has relatively high specificity, so it can generally be diagnosed through ultrasound. If the appearance is not typical, further examination with an enhanced CT scan can be carried out for diagnosis.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is a liver hemangioma serious if it is benign?

The severity of a patient with a hepatic hemangioma primarily depends on the size of the tumor. For patients with hepatic hemangiomas, if the size is relatively small, they generally do not experience significant discomfort, and most are discovered incidentally during ultrasound screenings. In such cases, no special treatment is required; just regular follow-up ultrasounds to monitor any changes in size. However, if the hepatic hemangioma is large, it often leads to rupture, bleeding, or even hemorrhagic shock, which requires attention and should be treated as early as possible. For its treatment, minimally invasive surgery, specifically interventional treatments, are the preferred options and can be very effective.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do liver hemangiomas occasionally cause pain?

Patients with hepatic hemangioma may occasionally experience pain. Although hepatic hemangioma is a benign tumor, it can still cause pain in the liver area. Moreover, the most severe complication of hepatic hemangioma is liver bleeding. Therefore, it is advisable to perform surgery as soon as possible when the tumor is large. The primary method of surgery is interventional surgery, which can achieve a cure by ligation. If not actively managed, liver bleeding can occur, leading to a critical condition, even causing hemorrhagic shock and death. Therefore, it is important to pay attention to this condition, and for smaller hepatic hemangiomas, regular follow-up color ultrasound examinations should be conducted to dynamically observe changes in size.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is a two-centimeter liver hemangioma serious?

When the volume of a liver hemangioma is two centimeters, the condition is relatively mild and usually does not present any obvious symptoms, thus requiring no special treatment. Of course, it is advisable to avoid hard-to-digest foods and spicy foods to reduce the burden on the liver, which can help control the condition. However, for patients with larger liver hemangiomas, there is often a risk of rupture and bleeding, making the condition more severe and sometimes leading to death due to hemorrhagic shock. Therefore, for patients with larger liver hemangiomas, it is advisable to opt for surgical treatment as early as possible, as surgery is the only way to completely treat 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.