PMC6534102_01
Contrast-enhanced-CT showed a 10.7-cm hepatic hemangioma in the left medial lobe, which is adjacent to the left portal vein and its branch (A and B). The laparoscopic view shows the tumor protrudes the surface of the liver (C). The tissue response to radiofrequency (RF) ablation was monitored by intraoperative US (arrow) (D). The lesion collapsed to a smaller mass after ablation (E).One month after RF ablation, CT scans showed that the hemangioma was completely ablated and remarkably smaller (F-H).
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Contrast-enhanced CT showed a typical hepatic hemangioma in the left medial lobe (10.7 cmx8.2 cm) (Figure 1A-1B). The laparoscopic exploration found an approximately 10.7 cm tumor mass bulging from the left medial lobe (Figure 1C). The tissue response to RF ablation was monitored by intraoperative US (Figure 1D). The sufficiently abated tumor tissue appeared as hyperechoicity due to the outgassing effect caused by heating in the tissue (Figure 1E). One month after RF ablation, CT scans showed that the hemangioma was completely ablated and remarkably smaller (Figure 1F-1H).
Chest radiograph shows the normal lung before ablation (A). Four hours after ablation, chest radiograph showed the butterfly sign of alveolar edema and cardiomegaly (B). One day after ablation, chest radiograph showed complete resolution of pulmonary edema, but still cardiomegaly (C). Seven days after ablation, chest radiograph showed complete resolution of pulmonary edema and normal heart (D).
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Chest radiograph showed normal lungs and heart (Figure 2A). Chest X-ray showed the butterfly sign of alveolar edema with cardiomegaly (Table 1) (Figure 2B). The patient's clinical condition improved in 12 hours and radiographic appearance of pulmonary edema resolved (Figure 2C), but she continued to complain of shortness of breath along with hypotension. A chest radiograph showed complete resolution of pulmonary edema without cardiomegaly (Figure 2D).