Giant hepatic hemangioma

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Abdominal pain and mass feeling on physical exam.

Patient Data

Age: 50 years
Gender: Female
ct
This study is a stack
Axial with
oral contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

The hepatic attenuation value is less than the spleen's, suggesting fatty liver.

A 140×95 mm hetero-dense lesion at the left liver lobe shows early peripheral nodular enhancement with centripetal filing and delayed blood pools.

Case Discussion

Features are typical for giant hepatic hemangioma. It is essential to differentiate giant hemangiomas from hepatic malignancies such as hepatocellular carcinoma and hepatic metastases.

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