INTRODUCTION: Hemangiomas are common hepatic lesions and are mostly asymptomatic.
Operative removal should only be performed when the lesions are symptomatic, and removal
of the hemangioma is deemed to be more beneficial than the risk of the operation itself.
PRESENTATION OF THE CASE: The multiple hemangiomas of our patient were discovered
nine years before first symptoms. The patient presented with pulmonary artery embolism
due to a compression of the vena cava inferior by a hemangioma in segment I. No other
cause of thromboembolic events could be diagnosed. We performed surgical enucleation
of the hemangioma, which resulted in the normalization of blood flow in the inferior
vena cava. As the inducing factor for clot development was removed, no permanent thrombosis
prophylaxis was implicated. DISCUSSION: Pulmonary embolisms owing to compression of
the inferior vena cave are rare. CONCLUSION: Until now to our knowledge, pulmonary
embolisms have never been described as an indication for hepatic hemangioma enucleation.
(C) 2020 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group
Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
