Document Detail


Hepatic hemangiomas and parachuting.
MedLine Citation:
PMID:  18856190     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hepatic hemangiomas are relatively common benign hepatic tumors. Historically, a concern for potential traumatic rupture has influenced clinical judgment regarding optimal treatment. However, a review of the literature fails to demonstrate spontaneous or traumatic rupture as a common phenomenon. The following case report discusses an individual patient incidentally found to have large hepatic hemangiomas on CT scan during work-up for a traumatic minimally displaced pelvic fracture from parachuting. He was admitted to the general surgery service for observation. After several days of hemodynamic stability and pain control, he was released to home with outpatient physical therapy and follow-up with the orthopedic surgery clinic. Interventional radiology was also consulted regarding his fitness to continue parachuting given his large hepatic hemangiomas. Embolization was not recommended, but rather continued observation without any restriction of physical activities. Review of the literature supports an extremely low incidence of traumatic rupture. Consequently, a hepatic hemangioma should not exclude an individual from parachuting.
Authors:
Timothy P Plackett; Kevin M Lin-Hurtubise
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  79     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-16     Completed Date:  2009-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  986-8     Citation Subset:  IM; S    
Affiliation:
Department of General Surgery, Tripler Army Medical Center, 1 Jarrett White Road, TAMC, Honolulu, HI 96859, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Aviation
Adult
Aerospace Medicine*
Aviation*
Fractures, Bone / etiology
Hemangioma / radiography,  therapy*
Hemangioma, Cavernous
Humans
Incidental Findings
Liver / injuries
Liver Neoplasms / radiography,  therapy*
Male
Pubic Bone / injuries
Rupture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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