Case Report of a Very Large Hepatic Hemangioma in a 49 Year- Old Woman

Background and Objectives Liver hemangioma is the most common benign tumor of the liver. Most cases with liver hemangioma are asymptomatic and discovered incidentally. But in the greater types with diameter of over 4 cm they are called giant hemangioma which can become symptomatic due to their local pressure on other visceral organs. However in general in papers and case reports there have been no cases like our case in size It should be mentioned that the tumor had been recognized by our patient and resection of tumor was finally performed by surgery. Case Report The patient was a 49 year-old woman who referred to a physician because of abdominal pain and felt mass in her upper right quadrant. The pain was constant without radiation and with feeling of heaviness. During physical examination a visible and palpable hepatomegaly was detected in RUQ shifting centrally and under umbilicus. Sonography reported a hepatic mass in posterior part of the right lobe of liver which was characterized by hyperechoic lobulated and irregular borders. CT scan and triphasic MRI reported the liver mass with size 230*109*94 mm was characterized by peripheral nodular enhancement in the arterial phase and centripetal enhancement in delay phase or portal phase which proved to be a very large hepatic hemangioma. Ultimately right hepatic lobotomy was performed which led to the patient's complete improvement.