What is causing the right-sided distension and pain in a liver hemangioma?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 27, 2024
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Patients with hepatic hemangioma primarily experience discomfort and pain in the upper right abdomen. Hepatic hemangioma is a benign tumor, but there is a possibility of rupture and hemorrhage, leading to hemorrhagic shock. Therefore, patients with symptomatic hepatic hemangioma should be treated promptly to prevent complications. For patients with hepatic hemangioma who experience discomfort and pain in the upper right abdomen and liver area, early surgical intervention is advised. The primary approach for surgery is interventional surgery, which can achieve better therapeutic effects. Additionally, patients with asymptomatic hepatic hemangioma still require regular follow-up with ultrasound to monitor any changes in the size of the tumor.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is it serious if a liver hemangioma occasionally causes needle-prick-like pain?

For patients with liver hemangiomas, if they occasionally experience needle-like pain, the condition is relatively mild at that time, but regular follow-up ultrasound exams are still needed to monitor changes in the condition. The diet should primarily be light, including plenty of fresh vegetables and fruits, avoiding hard-to-digest foods, and avoiding spicy and irritating foods to reduce inflammatory stimulation, which is beneficial for controlling the condition. Of course, if the hemangioma is large, it may cause local compression symptoms, primarily characterized by persistent pain in the liver area. For such cases, surgery should be performed as soon as possible to achieve a cure and improve the patient's prognosis.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Is pain from a liver hemangioma normal?

If a patient with a liver hemangioma experiences pain, this is not within the normal range. When the liver hemangioma is small, patients generally do not experience significant discomfort and do not require special treatment. Regular follow-up with ultrasound to dynamically observe changes in size is sufficient. However, if a patient with a liver hemangioma experiences pain in the liver area, this should be taken seriously, as it may indicate rupture and bleeding of the hemangioma, especially when the hemangioma is large. Therefore, for patients with large hemangiomas, early interventional treatment should be administered, as only through interventional surgery can the therapeutic effect be achieved, preventing the worsening of the condition. Additionally, patients with liver hemangiomas should avoid hard-to-digest foods in their diet to reduce the burden on the liver and better manage the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do liver hemangiomas occasionally cause pain?

Patients with hepatic hemangioma may occasionally experience pain. Although hepatic hemangioma is a benign tumor, it can still cause pain in the liver area. Moreover, the most severe complication of hepatic hemangioma is liver bleeding. Therefore, it is advisable to perform surgery as soon as possible when the tumor is large. The primary method of surgery is interventional surgery, which can achieve a cure by ligation. If not actively managed, liver bleeding can occur, leading to a critical condition, even causing hemorrhagic shock and death. Therefore, it is important to pay attention to this condition, and for smaller hepatic hemangiomas, regular follow-up color ultrasound examinations should be conducted to dynamically observe changes in size.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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I had a liver hemangioma removed five years ago and it still hurts a lot. What should I do?

If a patient still experiences pain five years after surgical removal of a liver hemangioma, attention should be paid, and further examinations should be completed to rule out other diseases. Generally, patients with hemangiomas do not experience significant discomfort after removal, and there are no obvious sequelae. Therefore, if discomfort occurs, it is important to conduct thorough examinations as soon as possible to identify the cause and treat it accordingly. For instance, liver diseases like cirrhosis, hepatitis, and liver cancer can all manifest as upper right abdominal pain. At this point, it is necessary to differentiate among these causes and treat accordingly. If the patient has liver cancer, early surgical removal should be performed to achieve better treatment outcomes.

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Written by Li Hu Chen
Imaging Center
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Can liver hemangioma be definitively diagnosed by ultrasound?

If there is a hemangioma on the liver, it can generally be diagnosed through an ultrasound of the liver and biliary system. This is because hemangiomas have some characteristic appearances on ultrasound imaging. First, it's essential to understand the structure of the liver hemangioma which can be roughly considered as sponge-like, with a structure similar to a sponge containing many fine structures. When ultrasound is applied, this sponge-like structure will demonstrate strong echogenicity, appearing as a large mass with medium to strong echogenic responses. Thus, it is quite evident on ultrasound and has relatively high specificity, so it can generally be diagnosed through ultrasound. If the appearance is not typical, further examination with an enhanced CT scan can be carried out for diagnosis.