A Successful Outcome of Pregnancy in Hepatic Haemangioma: An Account of a Perplexing Case QD03-QD06
Dr. Sheeba Marwah,
Assistant Professor, Department of Obstetrics and Gynaecology, NDMC Medical College and Hindu Rao Hospital,
New Delhi-110007 India.
Liver haemangiomas are described to be the most frequent benign liver tumours, and are mostly incidental detections in asymptomatic individuals. Giant lesions can develop symptoms, and are associated with complications. Female sex hormones, particularly estrogen, are believed to influence haemangioma development and progression. The optimal management of giant haemangiomas during gravidity is inadequately illustrated in literature so far. Diagnosis of a symptomatic giant haemangioma during pregnancy presents a quandary for the clinicians; besides, the safety of conservative management during pregnancy has not been comprehensively investigated. Consensus on the indications for surgical resection of asymptomatic lesions is also lacking at present. Thus, we present a case of a giant hepatic haemangioma diagnosed during pregnancy, where in timely detection and close observation, could successfully diffuse an otherwise a ticking bomb to explode; and also review the literature, with an aim of alleviating the bewilderment on management of haemangioma in pregnancy that might exist in the mind of budding gynecologists.