Giant hepatic hemangioma

Case contributed by Dr Ngo Tuan Minh

Presentation

Right upper quadrant pain several months before admission

Patient Data

Age: 45 years
Gender: Female
CT

Non-enhanced and contrast-enhanced CT images show a lesion (6 x 7.5 x 8 cm) with blood pool sign in segment VI and segment VII as a sharply defined mass with the same density as the vessels.

Other small similar nodular lesions are seen in the peripheral of segment VI and segment IVA with blood pool signs.

Bilateral renal simple cysts. 

 

DSA (angiography)

Angiography shows the classic snowy tree sign or cotton wool appearance of hemangioma in the right liver.

Case Discussion

This case shows the typical features of a hepatic hemangioma in CT and angiography.

In this case, the size of larger hemangioma is 6 x 7.5 x 8 cm. Giant hepatic hemangiomas are defined to be hemangioma >  5 cm.

To prevent spontaneous rupture, this case was treated by transcatheter arterial embolization with a mixture of lipiodol and bleomycin.

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Case information

rID: 86719
Published: 11th Feb 2021
Last edited: 27th Feb 2021
Inclusion in quiz mode: Included