Top

Published in:

Open Access 01-12-2010 | Case report

Torsion of a giant pedunculated liver hemangioma mimicking acute appendicitis: a case report

Authors: Feyzullah Ersoz, Ozhan Ozcan, Ahmet Burak Toros, Serdar Culcu, Hasan Bektas, Serkan Sari, Esra Pasaoglu, Soykan Arikan

Published in: World Journal of Emergency Surgery | Issue 1/2010

Abstract

Hemangiomas are the most common benign neoplasms affecting the liver. They occur at all ages. Most cases are asymptomatic and do not require any treatment. Rarely, hemangiomas can be pedunculated. İf they undergo torsion and infarction, they become symptomatic. Herein; we report the case of a 31 year old male presenting with features of acute appendicitis: continuous right iliac fossa pain, rebound, guarding tenderness at McBurney' s point, nausea, anorexia, shifted white blood cell count and a Mantrels score of 6. At laparotomy a normal appendix was observed and a torsioned pedinculated liver hemangioma turned out to be the cause.

Available only for authorised users

Karhunen PJ: Benign hepatic tumours and tumour like conditions in men. J Clin Pathol. 1986, 39: 183-188. 10.1136/jcp.39.2.183.PubMedCentralCrossRefPubMed

Vivarelli M, Gazzotti F, D'Alessandro L, Pinna AD: Emergency presentation of a giant pedunculated liver haemangioma. Dig Liver Dis. 2009, doi:10.1016/j.dld.2008.12.09

Adam YG, Huvos AG, Fortner JG: Giant hemangiomas of the liver. Ann Surg. 1970, 172: 239-245. 10.1097/00000658-197008000-00010.PubMedCentralCrossRefPubMed

Biecker E, Fischer HP, Strunk H, Sauerbruch T: Benign hepatic tumours. Z Gastroenterol. 2003, 41: 191-200. 10.1055/s-2003-37316.CrossRefPubMed

Guenot C, Haller C, Rosso R: Giant pedunculated cavernous hepatic haemangioma: a case report and review of the literature. Gastroenterol Clin Biol. 2004, 28: 807-10. 10.1016/S0399-8320(04)95133-0.CrossRefPubMed

Alvarado A: A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986, 15: 557-564. 10.1016/S0196-0644(86)80993-3.CrossRefPubMed

Title: Torsion of a giant pedunculated liver hemangioma mimicking acute appendicitis: a case report
Authors: Feyzullah Ersoz
Ozhan Ozcan
Ahmet Burak Toros
Serdar Culcu
Hasan Bektas
Serkan Sari
Esra Pasaoglu
Soykan Arikan
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2010
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/1749-7922-5-2

At a glance: The STEP trials

Springer Medicine

Torsion of a giant pedunculated liver hemangioma mimicking acute appendicitis: a case report

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2010

The role of pre-hospital blood gas analysis in trauma resuscitation

Acute gallbladder perforation with gallstones spillage in a cirrhotic patient

Encountering Meckel's diverticulum in emergency surgery for ascaridial intestinal obstruction

A case report of thoracic compartment syndrome in the setting of penetrating chest trauma and review of the literature

Acute direct inguinal hernia resulting from blunt abdominal trauma: Case Report

Duodenal obstruction - an unusual presentation of Strongyloides stercoralis enteritis: a case report