I had a liver hemangioma removed five years ago and it still hurts a lot. What should I do?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 23, 2024
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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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How long does it take to recover from minimally invasive surgery for liver hemangioma?

Patients with liver hemangiomas can undergo minimally invasive surgery via peripheral vascular intervention. They generally recover within three to five days after the surgery. Therefore, for patients with larger liver hemangiomas, which could potentially rupture and bleed, surgical treatment is advisable to achieve complete cure. However, for smaller liver hemangiomas without obvious symptoms, no special treatment is needed. Regular follow-up with color ultrasound to monitor any changes in size is sufficient. If surgery is carried out, the recovery time is generally three to five days, so there is no need for excessive concern.

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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 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.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will a liver hemangioma show blood flow signals on an ultrasound?

Patients with hepatic hemangiomas exhibit blood flow during ultrasound examinations. Hepatic hemangiomas are common benign tumors of the liver that usually don't show noticeable symptoms when they are small and don't require special treatment; routine follow-up with color Doppler ultrasound is sufficient. However, if a hepatic hemangioma is large, it could potentially rupture and bleed, making the condition severe. This could even lead to hemorrhagic shock and death. Therefore, patients with large hepatic hemangiomas should undergo surgery as soon as possible. Surgical intervention is necessary to cure the condition, with the primary method being interventional surgery, which can achieve the treatment objectives.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is a hemangioma of the left liver serious?

If the severity of a liver hemangioma occurs, it is mainly related to the size of the tumor. For patients with small liver hemangiomas, there are generally no obvious symptoms, and most are discovered only during ultrasound examinations, not requiring special treatment. Therefore, the condition is relatively mild, and it is sufficient to periodically review the ultrasound to observe any changes in size. However, for patients with large liver hemangiomas, there is a possibility of rupture and bleeding, and even leading to hemorrhagic shock, making the condition serious. Early surgical treatment should be pursued to improve the prognosis of the patient. The surgical methods mainly include minimally invasive surgery, using interventional surgery to achieve embolization, thus treating the condition.