Gundersen
Lutheran Medical Center, Inc. |
Gundersen Clinic, Ltd.
INFERIOR VENA CAVA SYNDROME
IN A PATIENT WITH GIANT HEPATIC
HEMANGIOMAS
Jeff T. Counters, DO, MPH
Heather J. Chial, MD, MSc
Gundersen Health System
La Crosse, WI
Gundersen Lutheran Medical Center, Inc. | Gundersen Clinic, Ltd.
Case
•
60 year old female
•
Recent hospitalizaHon for management of
bleeding from hepaHc hemangiomas
–
Chemical and coil embolizaHons
–
Superior right hepaHc artery and the right hepaHc
segmental arteries
Gundersen Lutheran Medical Center, Inc. | Gundersen Clinic, Ltd.
Hepa8c Hemangioma
•
Composed of cavernous vascular spaces
•
Most common benign mesenchymal hepaHc
tumor
•
Prevalence ranges from 0.4-‐20%
•
More frequent in women (3:1 raHo)
•
Wide range of size (millimeters to > 20 cm)
•
Usually solitary but can be mulHple
