ANAESTHETIC MANAGEMENT OF SURGICAL RESECTION OF GIANT HEPATIC HEMANGIOMA IN 12 YEAR OLD CHILD WITH LITERATURE REVIEW

Authors

Sandeep Chhipa , Subrat Agarwal , Rama Chatterji , C.S.Chatterji , Neelam Dogra Author

Keywords:

Hepatic hemangioma, Consumptive coagulopathy, Hepatectomy, Blood replacement, Progressive Intra-abdominal pain

Abstract

Hepatic Hemangioma are most common benign vascular hepatic tumor
which accounts for 5-6% of all intra abdominal tumor.Most of the patients with H.H.
are asymptomatic and frequently diagnosed as an incidental finding on
imaging,shows female preponderance M:F=1:5.They range from small hemangioma
to large cavernous hemangioma that involve the entire liver.Malignant
transformation has not been described.Most common reason for patient with H.H. to
undergo surgical resection is progressive abdominal pain due to increasing size of
tumor & intratumoral bleeding.Its surgical resection is a complex procedure
involving vascular structure & physiological derangement.Hepatic resection requires
meticulous anaesthetic & surgical management with proper blood & its products
replacement therapy.Coagulopathy,hepatic & renal failure & bile leak are some of the
important complications of hepatic resection. We present a case of H.H. with
successful surgical management.