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Ginecología y obstetricia de México
versão impressa ISSN 0300-9041
Resumo
GALLARDO-GOMEZ, Fabiola; HERNANDEZ-CRUZ, Rosa Gabriela; MIRANDA-ARAUJO, Osvaldo e RODRIGUEZ-BOSCH, Mario Roberto. Giant hepatic hemangioma in a pregnant woman. Case report. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.3, pp.262-266. Epub 11-Fev-2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v89i3.4550.
BACKGROUND:
The liver hemangiomas are vascular malformations and the most common benign tumors, the diagnosis is incidental from imaging studies, clinically they are asymptomatic. During pregnancy they do not represent a risk, however, with larger tumors, they have a greater risk of rupture and bleeding, so surgical intervention should be evaluated if they present them.
CLINICAL CASE:
A 36-year-old multiparous patient was admitted to prenatal care with a 21-week pregnancy and hepatomegaly 3 centimeters below the right costal ridge, asymptomatic patient. Imaging studies reported liver with hemangiomas, the largest measuring 10 x 7 x 8 cm; based on magnetic resonance imaging it was diagnosed as giant hepatic hemangiomas.
CONCLUSION:
Timely diagnosis, identification of risk factors, multidisciplinary treatment, and the support of laboratory studies allowed the diagnosis and completion of the pregnancy at term, by cesarean section.
Palavras-chave : Liver hemangiomas; Vascular malformations; Pregnancy; Hepatomegaly; Hemangiomas; Cesarean section; Liver Neoplasms.