Images in clinical medicine | Volume 38, Article 354, 13 Apr 2021 | 10.11604/pamj.2021.38.354.25620

Giant hepatic hemangioma: a challenging diagnosis

Sana Landolsi, Imène Ridène

Corresponding author: Sana Landolsi, Department of Surgery, Mahmoud El Matri Hospital, Ariana, University of Medicine Tunis El Manar, Tunis, Tunisia

Received: 17 Aug 2020 - Accepted: 08 Apr 2021 - Published: 13 Apr 2021

Domain: Radiology,General surgery,Surgical oncology

Keywords: Giant hemangioma, cavernous liver hemangiomas, treatment

©Sana Landolsi et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Sana Landolsi et al. Giant hepatic hemangioma: a challenging diagnosis. Pan African Medical Journal. 2021;38:354. [doi: 10.11604/pamj.2021.38.354.25620]

Available online at: https://www.panafrican-med-journal.com/content/article/38/354/full

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Images in clinical medicine

Giant hepatic hemangioma: a challenging diagnosis

Giant hepatic hemangioma: a challenging diagnosis

Sana Landolsi1,&, Imène Ridène2

 

1Department of Surgery, Mahmoud El Matri Hospital, Ariana, University of Medicine Tunis El Manar,Tunis, Tunisia, 2Department of Radiology, Mahmoud El Matri Hospital, Ariana, University of Medicine Tunis El Manar, Tunis, Tunisia

 

 

&Corresponding author
Sana Landolsi, Department of Surgery, Mahmoud El Matri Hospital, Ariana, University of Medicine Tunis El Manar, Tunis, Tunisia

 

 

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A 50-year-old man without medical history, complained about effort dyspnea with enlargement of the abdomen. Physical examination showed an enlarged liver reaching the right and the left iliac fossa with a collateral venous circulation. Biological exams were within normal ranges. Hepatitis B and C serologies were negative. Abdominal computed tomography and magnetic resonance imaging demonstrated an enlarged liver with a 36 cm in diameter. Multiple bilateral liver masses heterogenous with an enhancement after contrast intravenous injection were shown. The largest one was located in the left liver with 26 cm in diameter. A dense collateral venous circulation existed. A diagnostic percutaneous biopsy was made. Histopathological exam concluded to giant cavernous cavernoma. Since the surgery was risky especially hemorrhage, a percutaneous embolization for the largest mass was indicated.

 

 

Figure 1: giant cavernous hemangioma

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Giant hepatic hemangioma: a challenging diagnosis

Images in clinical medicine

Giant hepatic hemangioma: a challenging diagnosis

Images in clinical medicine

Giant hepatic hemangioma: a challenging diagnosis

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Key words

Giant hemangioma

Cavernous liver hemangiomas

Treatment

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