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Hepatic haemangioma causing isolated right-sided pleural effusion and bilateral pedal oedema
  1. Oseen Hajilal Shaikh,
  2. Uday Shamrao Kumbhar,
  3. Chilaka Suresh and
  4. Balasubramanian Gopal
  1. Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}


Hepatic haemangioma (HH) is a common benign tumour of the liver and is usually asymptomatic. HH causing isolated right-sided pleural effusion and bilateral pedal oedema due to inferior vena cava (IVC) compression have never been reported in the literature. We report a 35-year-old male patient who presented with breathlessness and mass per abdomen. On examination, the patient was found to have right-sided pleural effusion, bilateral pedal oedema, hepatomegaly. Contrast-enhanced CT showed compression of the IVC by the HH. The patient was managed with right-sided intercostal drain insertion for pleural effusion and hepatic artery embolisation. The patient improved gradually with reduced pleural effusion and resolving pedal oedema.

  • surgery
  • general surgery
  • gastrointestinal surgery

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  • Contributors Preparation of the manuscript: OHS. Collection of the data: CS. Interpretation of the data: BG. Critical analysis: USK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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