Pedunculated hepatic hemangioma

Case contributed by Dr Michael P Hartung

Presentation

Pelvic mass staging.

Patient Data

Gender: Female

Presentation

CT

Oval mass between the left hepatic lobe and the spleen with discontinuous peripheral, nodular enhancement. 

Complex pelvic masses involving both ovaries (R>L). No metastases. 

6 years prior

CT

Slightly smaller mass between the left hepatic lobe and spleen with peripheral, nodular enhancement. 

Case Discussion

Staging study for a malignant pelvic mass with large, pedunculated hepatic hemangioma between the left hepatic lobe and spleen. The thin stalk is very difficult to see, and this could be mistaken for a malignant mass if unfamiliar with this diagnosis. The comparison from 6 years ago helps: it has only slightly grown. 

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