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HPB Surgery
Volume 7 (1993), Issue 2, Pages 141-146
Case Report

Successful Arterial Embolisation of Giant Liver Haemangioma

1Service de Chirurgie Digestive, Hôpital Henri-Mondor, Créteil, France
2Service de radiologie, Institut Gustave Roussy, Villejuif, France
3Service de Chirurgie Générale, Hôpital Hautepierre, Strasbourg, France
4Service de Chirurgie Digestive, hôpital Henri-Mondor, 51 av. du Maréchal de Lattre-de-Tassigny, Créteil, 94000, France

Received 8 February 1992; Accepted 21 January 1993

Copyright © 1993 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 28-year old man presented with a symptomatic giant haemangioma. On June 26, 1983, at laparotomy, no resection was attempted because the lesion involved the right lobe of the liver and a part of segments II and III. The patient underwent a right hepatic arterial embolisation with gelatine sponge particles. During follow-up, the patient remained asymptomatic. Five-year review by CT-scan showed a diminution of the size of the haemangioma and hypertrophy of the left lobe. On October 21, 1988, the patient was reoperated on for liver abscess and complete necrosis of the haemangioma. A right hepatectomy was performed. In conclusion, the long-term effect of hepatic arterial embolisation, as demonstrated in our case by regular CT-scans, is useful in cases of diffuse haemangioma as an alternative to hazardous major liver resection. To our knowledge, the long-term effect of hepatic arterial embolisation on symptoms and tumor size have never been reported for giant liver haemangioma.