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Same day arterial embolisation followed by hepatic resection for treatment of giant haemangioma
  1. James Bailey1,
  2. Sara Di Carlo2,
  3. James Blackwell3,
  4. Dhanny Gomez1
  1. 1HPB, Nottingham University Hospitals, Nottingham, Nottinghamshire, UK
  2. 2Department of HPB Surgery, Queens Medical Centre, Nottingham, UK
  3. 3Royal Derby Hospital, Derby, UK
  1. Correspondence to Dr James Blackwell, james.blackwell{at}


Cavernous haemangiomas are the most common tumour of the liver; they are benign in nature and have an incidence of up to 7.3% at autopsy. Occasionally, they may cause symptoms necessitating intervention. We report the case of a woman who presented with non-specific abdominal pain and evidence of a giant hepatic haemangioma on abdominal imaging. She underwent selective hepatic arteriography with transcatheter arterial embolisation followed by same-day left hemi-hepatectomy, making an uneventful recovery. We discuss the management of giant hepatic haemangiomas and present same day transcatheter arterial embolisation prior to hepatic resection as a safe and viable treatment strategy in selected cases.

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