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Giant hepatic hemangioma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain


Abdominal pain and elevated liver enzymes.

Patient Data

Age: 45 years
Gender: Female

There is an 85 × 75 mm hypoattenuating mass in the liver that shows early peripheral nodular discontinuous enhancement with centripetal filling and delayed blood pools. Large central necrotic components are also evident.

Case Discussion

This case shows a hepatic mass compatible with a giant hepatic hemangioma, also known as giant hepatic venous malformations, that is relatively uncommon non-neoplastic vascular lesion of the liver. It can be strikingly large and mimic tumors.

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