China News Service, Shanghai, March 3 (Reporter Chen Jing) 46-year-old Ms. Li suffered from a huge hepatic hemangioma. Like a volleyball, if not treated in time, the rapidly growing hemangioma may rupture and endanger her life once she is under unexpected pressure.

However, the risk of surgery is huge, and Ms. Li went to many hospitals for treatment without success.

　　The reporter visited the Third Affiliated Hospital of Naval Military Medical University on the 3rd. With the joint efforts of experts in the field of biliary tract Jiang Xiaoqing and Feng Feiling, after three and a half hours of difficult surgery, Ms. Li turned the corner.

　　It is reported that hepatic cavernous hemangioma is one of the benign liver tumors with a high incidence. The exact cause of the disease is unknown, or it is related to abnormal developmental hormones and genes.

Hepatic hemangiomas are usually asymptomatic and are often discovered incidentally during physical examination.

The most common symptom of hepatic hemangioma of a certain size is persistent pain or tingling in the liver area, and the most dangerous complication is the rupture of the hemangioma.

　　It is reported that more than 3 years ago, Ms. Li went to the hospital for ureteral calculi, and abdominal color Doppler ultrasound suggested that she may suffer from hepatic hemangioma.

But because Ms. Li was not feeling well at the time, she didn't care.

In October 2021, due to abdominal distention and discomfort, Ms. Li visited the doctor again and was diagnosed with multiple hemangioma of the liver.

In 3 years, the diameter of the hemangioma grew from 6cm to 16cm.

Feng Feiling told reporters that this growth rate is very fast.

The expert said that Ms. Li's hepatic hemangioma is huge and close to large blood vessels, so the risk of surgery is high.

　　After Ms. Li was admitted to the Anting District of the hospital, Feng Feiling instructed her not to do strenuous activities, not to cough or defecate forcefully.

After comprehensively considering the patient's age, physical condition, the location of the hemangioma, and the anatomical relationship with the hepatic blood vessels, Professor Jiang Xiaoqing decided to choose surgical treatment.

At the general case seminar, experts made detailed plans and surgical plans to prevent surgical accidents or uncontrollable risks.

Sun Yuming, director of the Department of Anesthesiology, told reporters that the operation of giant hepatic hemangioma takes a long time, and it is very difficult to control the central venous pressure. It is a huge challenge for anesthesia to keep the blood pressure from being too low when maintaining a low central venous pressure.

　　Jiang Xiaoqing introduced that during the surgical exploration, the doctor found that Ms. Li's hepatic hemangioma had grown to the pelvic cavity and had obvious adhesions with the transverse colon, stomach, and duodenum. If one was not careful, the hemangioma would rupture, resulting in massive bleeding.

Professor Jiang Xiaoqing patiently and carefully dissociated the hemangioma completely, and separated all adhesions with the surrounding tissue; during the excision process, he completely removed the volleyball-like hepatic hemangioma in only 25 minutes.

　　During the interview, Professor Jiang Xiaoqing said: Small, asymptomatic hepatic hemangioma does not require treatment, but B-ultrasound should be done every 3-6 months to dynamically observe the changes of hemangioma.

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