{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:10:03Z","timestamp":1756375803354,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,9]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Liver haemangiomas are the most common benign hepatic tumours, but secondary portal hypertension resulting from haemangiomas is exceedingly uncommon. We present a case of a man in his 50s who presented with a progressively enlarging mass in the right upper abdomen. CT of the liver revealed a large hypodense lesion involving the right lobe, with two smaller lesions in the left lobe. The portal vein was compressed by the tumour, causing portal hypertension. The patient underwent right hepatectomy. Postoperatively, the patient had an uneventful course, and a 3-month follow-up demonstrated resolution of the oesophageal varices, portal gastropathy, with hypertrophy of the left lobe. This case report highlights the successful surgical management of a rare massive hepatic haemangioma causing portal hypertension with surgical resection, emphasising the potential benefits of surgical intervention with minimal complications.<\/jats:p>","DOI":"10.1136\/bcr-2023-257370","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T23:40:23Z","timestamp":1710891623000},"page":"e257370","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Surgery for a symptomatic massive liver haemangioma"],"prefix":"10.1136","volume":"17","author":[{"given":"Sowmiya","family":"Velusamy","sequence":"first","affiliation":[{"name":"Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1600-3439","authenticated-orcid":false,"given":"Souradeep","family":"Dutta","sequence":"additional","affiliation":[{"name":"Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debasis","family":"Naik","sequence":"additional","affiliation":[{"name":"Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9821-3204","authenticated-orcid":false,"given":"Vishnu Prasad","family":"Nelamangala Ramakrishnaiah","sequence":"additional","affiliation":[{"name":"Surgery, Division of HPB Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"2025082802281525000_17.3.e257370.1","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.jhep.2016.04.001","article-title":"European Association for the Study of the Liver (EASL). EASL clinical practice guidelines on the management of benign liver tumours","volume":"65","year":"2016","journal-title":"J Hepatol"},{"key":"2025082802281525000_17.3.e257370.2","doi-asserted-by":"crossref","first-page":"292","DOI":"10.4254\/wjh.v2.i7.292","article-title":"Resection of a rapid-growing 40-cm giant liver hemangioma","volume":"2","author":"Koszka","year":"2010","journal-title":"World J Hepatol"},{"key":"2025082802281525000_17.3.e257370.3","doi-asserted-by":"crossref","first-page":"229","DOI":"10.9738\/INTSURG-D-13-00046.1","article-title":"Bilateral lower limb edema caused by compression of the retrohepatic inferior vena cava by a giant hepatic hemangioma","volume":"98","author":"Akbulut","year":"2013","journal-title":"Int Surg"},{"key":"2025082802281525000_17.3.e257370.4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.9738\/CC170.1","article-title":"Giant hepatic hemangioma presenting as gastric outlet obstruction","volume":"98","author":"Aydin","year":"2013","journal-title":"Int Surg"},{"key":"2025082802281525000_17.3.e257370.5","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000159226.63037.a2"},{"key":"2025082802281525000_17.3.e257370.6","unstructured":"Guy J , Peters MG . Liver disease in women: the influence of gender on epidemiology, natural history, and patient outcomes. 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