Will a liver hemangioma show blood flow signals on an ultrasound?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 19, 2024
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Patients with hepatic hemangiomas exhibit blood flow during ultrasound examinations. Hepatic hemangiomas are common benign tumors of the liver that usually don't show noticeable symptoms when they are small and don't require special treatment; routine follow-up with color Doppler ultrasound is sufficient. However, if a hepatic hemangioma is large, it could potentially rupture and bleed, making the condition severe. This could even lead to hemorrhagic shock and death. Therefore, patients with large hepatic hemangiomas should undergo surgery as soon as possible. Surgical intervention is necessary to cure the condition, with the primary method being interventional surgery, which can achieve the treatment objectives.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Symptoms of deteriorating hepatic hemangioma

When deterioration occurs in liver blood vessels, it primarily manifests as rupture and bleeding of hepatic hemangiomas, which can lead to hemorrhagic shock, and even cause death. Of course, in the early stages of the disease, patients may only experience discomfort and pain in the upper right abdomen. As the bleeding increases, the pain becomes significant, and clinical symptoms such as decreased blood pressure and increased heart rate may occur. Therefore, it is important to pay close attention to patients with large hepatic hemangiomas and perform surgery as early as possible for a definitive cure. Moreover, postoperative attention is still needed. Patients should avoid injuries, follow a light diet primarily, eat more fresh vegetables and fruits, and reduce the burden on the liver to better facilitate recovery from the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What is causing the right-sided distension and pain in a liver hemangioma?

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 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.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do liver hemangiomas need to be treated?

Whether treatment is needed for liver hemangiomas mainly depends on the size and volume of the hemangioma and whether there are any symptoms. For patients with liver hemangiomas, those with relatively large volumes may experience liver bleeding or even affect liver function. In such cases, surgical treatment should be performed. The surgery can be done through interventional procedures to achieve ligation, which can cure the condition. Of course, for patients with smaller liver hemangiomas, there are generally no obvious symptoms, and most are only discovered during ultrasound examinations. There is no need to be overly worried or to undertake special treatments in such cases. Regular ultrasound check-ups to dynamically observe any changes in volume are sufficient. However, if the condition worsens, early treatment should be administered to improve the prognosis for the patient.

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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.