Hemangioma

Several years ago I first experienced a very uncomfortable feeling in my upper right abdomen whenever I was driving. It almost felt the way I felt when pregnant. I had to arch my back to relieve the discomfort. I could actually feel something there, right by my ribcage. Doctors told me there was nothing there, nor could they find anything wrong.

About 2 years ago after an auto accident, it was mentioned that I had a hepatic hemangioma a little larger than 3cm, in the middle of my liver. End of storey.

Recently I began experiencing pain, bloating, constant nasuea and the same discomfort in that same area. My doctor did complete upper GI series, CT scan etc. He ruled out any ulcers, or gallbladder problems. The only abnormal test results, which have been consistent over the past year are, non iron deficiency anemia, hyponetremia and traces of blood in the urine (I assume unrelated)He is now recommending a referral to a surgeon regarding the hemangioma, thinking I believe that it has become symptomatic. Oh, and it has not become any larger. After extensive internet research I find it is unlikely that a hemangioma that small would be symptomatic. However, there were several references to placement of hemangioma can cause symptoms. I am unable to locate any info on what areas of the liver a hemangioma might cause problems. Can you enlighten me?

Thank you

[Kevin Pho, MD]

Your physician did a pretty good job in excluding other causes for your discomfort.  I would agree that a surgical referral be considered for evaluation of hemangioma removal.  Patients who have pain or symptoms of compression should be considered for surgical removal.  Lesions in the sub-capsular region of the liver should be looked at in particular.

Surgery is not 100% successful in all cases either.  Twenty percent of hemangiomas return after the procedure.  There are also different approaches you may take - ranging from liver resection, hepatic artery embolization to liver transplantation.

You may want to discuss these options with your personal physician or obtain a second surgical opinion.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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