Editing Liver haemangioma (section)

== Presentation ==

* Asymptomatic (50-90%)
* Symptomatic
** Typical liver mass symptoms - pain comes from haemangioma thrombosis or stretching of Glisson's capsule - nonspecific visceral abdo pain. Can have other nonspecific symptoms such as nausea and early satiety. Can lead to mass effect - obstructive jaundice, GOO etc.
** Can cause AV shunting and CCF
** Likelihood of symptoms is higher with increasing size
* Complications
** Rupture/haemorrhage - 30% mortality rate, but exceedingly rare
** Kasabach-Meritt syndrome - rare - haemangioma thrombocytopaenia syndrome - consumptive thrombocytopaenia as a large haemangioma traps platelets - can lead to DIC. Often triggered by simple dental or surgical procedure. Mortality 30%.
** Malignant transformation has never been reported