case report Hepatic Hemangioma in a Developing Community
Wilson I. B. Onuigbo1*,
Raphael C. O. Eruchalu2
1Department of Pathology, Medical Foundation
and Clinic, Enugu, Nigeria
2St. Joseph’s Hospital, Adazi-Nnukwu,
Nigeria
*Corresponding
author:
Wilson I. B. Onuigbo, Department of Pathology, Medical Foundation and Clinic,
Enugu, Nigeria. Tel: +23408037208680; Email: wilson.onuigbo@gmail.com
Received Date: 10 July, 2018; Accepted Date: 02 October, 2018; Published Date: 08 October, 2018
Citation: Onuigbo WIB,
Eruchalu RCO (2018) Hepatic Hemangioma in a Developing Community. Arch
Gastroenterol Hepatol: AGEH-102. DOI: 10.29011/AGEH-102.10000
1. Abstract
The
liver may oddly exhibit the hemangioma. In this context, case reports of it
have come from countries as far apart as USA, China, Taiwan, Trinidad and
Tobago, Japan and Lebanon. Therefore, this paper comes from an indigenous
ethnic group called the Igbos who are domiciled in a developing community in
South Eastern Nigeria. The present paper is based on the preclinical suspicion
of the common cirrhosis, seeing that it turned out to concern the rare
hemangioma.
One
the types of insurance fraud is self-mutilation. In this study, a self-mutilation
case for insurance claims shall be analyzed and suggestions shall be submitted.
Studies
of insurance fraud have typically focused upon identifying characteristics of
fraudulent claims, and this focus is apparent in the current wave of forensic
insurance and data-mining technologies for insurance fraud detection. The
results of the study suggest that an occupational focus on the practices of
insurance fraud investigations complement and enhance forensic insurance and
data-mining. This study also reveals that, in insurance fraud cases,
collaboration with forensic insurance experts is very important and effective.
2.
Keywords: Case report; Community;
Developing Hemangioma; Liver
1. Introduction
Case
reports indicate that the liver may exhibit the characteristic hemangioma. Such
reports have come from countries as far apart as USA [1], China [2], Taiwan
[3], Trinidad & Tobago [4], Japan [5], and Lebanon [6]. Now, it has been
hypothesized that the establishment of a histopathology data pool facilitates
epidemiological analysis [7]. Therefore, such a pool was established at Enugu,
the erstwhile capital city of the Government of the Eastern Region of Nigeria
to serve the Ibo ethnic group [8]. The present paper has been based on the
preclinical suspicion of the common cirrhosis. However, it turned out to
concern the rare hemangioma.
2. Case
Report
In
OU, a 70-years-old female of the Ibo ethnic group, attended the St. Joseph’s
Hospital, Adazi, Nigeria. There, she was seen by one of us (RCOE). The
complaints were abdominal pain after food, internal heat, loss of appetite, and
constipation of 3 years’ duration. Investigations led to liver biopsy on the
suspicious of cirrhosis.
The
specimen received by the co-author (WIBO) was a 4 × 3 × 2.5 cm wedge of tissue.
On section, pale yellow normal looking liver tissue was noted peripherally.
More deeply, the tissue was deeply brown and hemorrhagic with occasional
whitish streaks.
Microscopy
revealed largely normal liver which exhibited a cavernous lesion. For the most
part, the tumor was classical with erythrocyte filled vascular spaces. Mitotic
activity was absent. Therefore, cavernous hemangioma was diagnosed.
3. Discussion
According
to USA authors [1], hemangiomas “are the most common benign tumors found in the
liver and are typically asymptomatic, and incidentally discovered.” However, in
that case, bleeding occurred. So did the Tinidad and Tobago case [4]. Our
patient did not bleed.
Odd
lesions may be spotted. From USA [9], the sclerosing hemangioma was seen to be
different from primary or metastatic cancer based on imaging characteristics.
The
“huge” hemangioma type required transcatheter arterial embolization before
resection by trisectorectomy [5]. From China [2], this type was reported in
connection with the adult Kasabach-Merritt syndrome which is characterized by
abnormalities in hematological and coagulative systems.
Exceptionally,
in Lebanon [6], the lesion may be diffuse in the liver with a tell-tale single
cutaneous hemangioma. In such a case, screening ultrasound was recommended in
involved patients who are usually infants.
In
contrast to our patient, whose lesion was cavernous, the Taiwan case exhibited
the capillary form; it was characterized as “very rare” in adults [3].
- Papafragkakis H, Moehlen M, Garcia-Buitrago MT, Madrazo B, Island E, et al. (2011) A case of a ruptured sclerosing liver hemangioma. International Journal of Hepatology, Article ID 942360.
- Liu X, Yang Z, Tan H, Xu L, Sun Y, et al. (2017) Giant liver hemangioma with adult Kasabach-Merritt syndrome: Case report and literature review. Medicine (Baltimore) 96: 7688.
- Jhuang JY, Lin LW, Hsieh MS (2011) Adult capillary hemangioma of the liver: Case report and literature review. The Kaohsiung Journal of Medical Sciences 27: 344-347.
- Islam S, Naraynsingh V (2014) Spontaneous rupture of liver haemangioma: A case report & review of literature. Journal of Surgery 10: 181-183.
- Akamatsu N, Sugawara Y, Komagome M, Ishida T, Shin N, et al. (2010) Giant liver hemangionma resected by trisectorectomy after efficient volume reduction by transcatheter arterial embolization: A case report. Journal of Medical Case Reports 4: 283.
- Tasseh FA, El‐Khansa M, Abd O, Khalek AA, El‐Rifai N (2017) Diffuse hepatic hemangioma with single cutaneous hemangioma: An alerting occurrence. Clinical Case Reports 5: 887-889.
- Macartney JC, Rollaston TP, Codling BW (1980) Use of a histopathology data pool for epidemiological analysis. Journal of Clinical Pathology 33: 351-353.
- Basden GT (1966) Niger Ibos. Cass, London.
- Behbahani S, Hoffmann C, Stonebride R, Mahboob S (2016) Clinical case report: Sclerosing hemangioma of the liver, a rare but great mimicker. Radiology Case Reports 11: 58-61.