The Korean Journal of Internal Medicine

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Case Report
Korean J Med. 2014;87(4):505-509. Published online October 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.4.505
발열과 기침으로 발현된 거대 간 혈관종의 1예
이서희, 윤지현, 천재영, 조세희, 김기현, 진성준, 송영구
연세대학교 의과대학 강남세브란스병원 내과
A Case of Giant Hemangioma of the Liver Presenting with Fever and Cough
Seo Hui Lee, Ji Hyun Yoon, Jaeyoung Cheon, Se Hee Jo, Kihyun Kim, Sung Joon Jin, Young Goo Song
Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
Corresponding author: Young Goo Song ,Tel: +82-2-2019-3319, Fax: +82-2-3464-3882, Email: imfell@yuhs.ac
Received: July 16, 2013; Revised: October 30, 2013   Accepted: December 9, 2013.


߽ɾ :혈관종; 간; 발열; 기침; 간 동맥 색전술
Abstract
Hemangioma of the liver is usually asymptomatic and incidentally discovered. However, giant hemangioma of the liver may be symptomatic, which is an indication for treatment. A 31-year-old female was admitted with a fever and 1-month history of a nonproductive cough. Her blood test results revealed thrombocytopenia, anemia, and mild coagulopathy. A giant hemangioma of the liver was the cause of her symptoms and signs, and was too large for surgical treatment. Therefore, we performed two sessions of transcatheter hepatic arterial embolization (TAE). The patient has been doing well without fever for 1 year following the second TAE procedure. Surgical resection and enucleation are the traditional treatments of choice for symptomatic giant hemangioma of the liver. However, the signs and symptoms of giant hemangioma of the liver improved by TAE in the present case. We herein report a case of complicated giant hemangioma of the liver that was partially treated by TAE and conservative management.

Keywords :Hemangioma, Liver, Fever, Cough, Hepatic Artery Embolization

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