PMC7369450_01
MRI images showing multiple hemangiomas of the liver. The largest HH is located in segment I (*) compressing the inferior vena cava. A: Axial section MRI. B: Coronal section MRI.
gr1.jpg
PMC7369450_01_gr1.jpg
fig0005
The largest HH measured 83 x 57 mm (Fig. 1A+B) and was located in the segment I compressing the inferior vena cava (IVC).
Intraoperative situs after removal of the hemangioma. The lines indicate the vena cava.
gr2.jpg
PMC7369450_01_gr2.jpg
fig0010
Enucleation of the HH in segment I was performed in an open approach (Fig. 2). After removal (Fig. 2) no residual compression was observed and a normal venous flow pattern of the IVC was detected with duplex ultrasound.
Top view on the hemangioma after operative removal. 10 mL syringe as size comparison. A: Hematoma in its entirety B: Crosssection.
gr3.jpg
PMC7369450_01_gr3.jpg
fig0015
The HH (Fig. 3A+B) appeared to be highly vascularized and showed bleeding on contact.