Preoperative transcatheter arterial embolization for giant cavernous hemangioma of the liver with consumption coagulopathy

摘要: We describe a 40-yr-old woman with giant hepatic hemangioma and consumption coagulopathy who underwent transcatheter arterial embolization (TAE) prior to liver resection. Post-contrast computed tomography showed large mass in the right lobe peripheral, nodular enhancement pattern that enlarged on delayed-phase images. There was low fibrinogen concentration decreased platelet count. The patient received i.v. nafamostat mesilate selective of arteries feeding ; consequently, plasma increased 1.6-fold before surgery. Right lobectomy partial resection caudate performed. intraoperative blood loss only 1380 g. This illustrates usefulness preoperative TAE for coagulopathy; appears improve increase safety