Symptoms of hepatic hemangioma, 5 symptoms are more typical

The symptoms of hepatic hemangioma are generally typical. Patients will have abdominal masses and gastrointestinal symptoms, such as poor appetite, indigestion or hiccups. In addition, if the hepatic hemangioma ruptures, it will cause severe pain and bleeding.

1. Abdominal mass: The mass has a cystic feel, no tenderness, and a smooth or rough surface. Auscultation of the mass sometimes produces a vascular murmur.

2. Gastrointestinal symptoms: dull pain and discomfort in the right upper abdomen, as well as loss of appetite, nausea, vomiting, belching, fullness after eating, and indigestion;

3. Compression symptoms:

Giant hemangiomas can push and compress surrounding tissues and organs. Compression of the lower end of the esophagus may cause dysphagia; compression of the extrahepatic bile duct may cause obstructive jaundice and gallbladder effusion; compression of the portal vein system may cause splenomegaly and ascites; compression of the lungs may cause dyspnea and atelectasis; compression of the stomach and duodenum may cause digestive tract symptoms, etc.

4. Severe bleeding pain:

Rupture and bleeding of hepatic hemangioma may cause severe upper abdominal pain, bleeding and shock symptoms. It is one of the most serious complications. It is mostly caused by rupture and bleeding of larger hepatic hemangioma growing below the ribs due to external force. It is extremely rare.

5. Kasabach-Merritt syndrome:

It is a coagulation abnormality caused by hemangioma accompanied by thrombocytopenia and consumption of a large amount of coagulation factors. Its pathogenesis is blood retention in giant hemangiomas, which consumes a large amount of red blood cells, platelets, coagulation factors II, V, VI, and fibrinogen, causing abnormal coagulation mechanism, which can further develop into DIC;

6. Other symptoms:

When a pedunculated hemangioma growing free outside the liver twists, necrosis may occur, causing severe abdominal pain, fever, and collapse. There are also some patients whose huge hemangiomas lead to the formation of arteriovenous fistulas, which increase the amount of blood returning to the heart and increase the burden on the heart, leading to heart failure and death. There are also rare cases of bile duct bleeding.

The above introduces the six major symptoms of hepatic hemangioma. I hope everyone will be vigilant.