RIGHT HEPATECTOMY FOR TREATMENT OF HEPATOCELLULAR ADENOMES IN HOSPITAL SANTO ANTONIO

Objective: To report the case of the treatment of benign liver tumor treatment at the santo antonio hospital evaluating its evolution with the current recommendations for the approach of these pathologies. Method: Patient m.A.Q.M., 41 Years, from seberi-rs, brought to the special ambulatory of the santo antonio de tenente portela / rs hospital referred to right hypocondry initial three months, having performed a usg of total abdome which evidentiated collelitiasis and hepatic mass claring into the right wolf. To global abdome examination without a tasty pasta, surfaceful pain. Obese, anicterica, history of oral conceptual use for 25 years. In treatment for diabetes for 10 years with oral hypoglycemants. Further requests for hepatic neoplasia investigation with the following findings: tumor markers (cea; alpha feto protein and ca 19.9) All normal. Eda showing only light gastrite. Normal colonoscopy. High abdome mri not performed due to fobia frame (sic). Made of chest and ct tomography of abdome and pelvis where it was observed presence of a mixed image with subscripular increased cellularity, soft part coefficients, measuring 19,2×18,3×13,7cm. With its solid portion measuring 10.8×8.8×10.7Cm according to right hepatic wolf with commitment of segments v to viii normal thorax tomography. Percutaneous punction was contraindicated due to the risk of bleeding in the extensive subcapsular collection. Due to the large proportions and characteristics of the suggestive hepatic mass adenoma and in accordance with the consensus guidelines of the european living study association (easl), the surgical approach for the patient submitted to classic right hepatectomy with tactical collecystectomy. Remained three days in the icu with great clinical evolution. High hospital activities on the fifth post-operative day in great clinical conditions and is in lator both monitoring.Conclusion: The good post-operative clinical evolution. Injury aspects and compatible risk factors with hepatocellular adenoma with high risk of bleeding percutaneous biopsy corroborate and validate recommendation for surgical approach to hepatocellular adenomas bigger than 5cm. These injuries should be dried out because of the big risk of blooding and malignizing them.

 

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No conflict of interest has been declared by the author(s).

Publication History

Article published online:
23 October 2019