Resection for progressively growing giant hemangioma of anterior abdominal wall.

Hemangioma is a benign vascular malformation and generally diagnosed in childhood. This pathology frequently shows regression within the first decade of life, but it rarely presents in young adults beyond 12 years of age. When progressive growth of the tumour leads to a giant hemangioma with clinical symptoms, surgical resection can be reasonable despite its high risk of complications such as intractable bleeding or recurrence. Selective angiography for assessment of the blood supply to hemangiomas is a guide for the surgeon to remove the lesion safely. We present the case of a 20-year-old patient, who underwent successful surgical treatment for a giant hemangioma that showed progressive enlargement in the abdominal wall.

Y-stent-assisted coil embolization of wide-neck intracranial aneurysms. A single center experience.

This report evaluated the short and midterm results of the safety and effectiveness of the treatment technique with hybrid and non-hybrid Y-configured, dual stent-assisted coil embolization of wide-neck intracranial aneurysms, and reviewed the literature concerning this technique. Nine patients, eight with unruptured and one with ruptured aneurysms were included in the study. Of aneurysms embolized with a hybrid (with two different stents) and non-hybrid (with two identical stents) technique, three were located in the anterior communicating artery, three at the tip and one at the distal site of basilar artery, and two in the middle cerebral artery. All aneurysms included the orifices of bifurcation vessels. All aneurysms were stented and embolized during the same session. While Neuroform and Enterprise stents were used in the hybrid technique, two Enterprise stents were used in the non-hybrid technique. Dual Y-stent assisted coil embolization was performed successfully in eight of nine patients (88.9%), including five patients (55.6%) with hybrid and three patients (33.3%) with non-hybrid technique. No procedural complication, no mortality and no minor or major neurological complications were seen during the angiographic or clinical follow-up. When an attempt was made at passing the second stent through the first Enterprise stent, the stent protruded inside the aneurysm in one patient (11.1%). Hybrid or non-hybrid dual Y-stent-assisted coil embolization in the treatment of ruptured or unruptured wide-neck and complex intracranial aneurysms is a safe and effective method from the viewpoint of short and midterm results.