Photoclinic Diagnosis: Giant Hepatic Hemangioma

A 41-year-old woman was admitted to the hospital because of abdominal pain. There was a threemonth history of vague right upper quadrant abdominal pain, together with nausea, and early satiety. She didn’t complain of weight loss or jaundice. On abdominal examination, there was a palpable mass in the right upper quadrant. Her laboratory values including serum aminotransferase levels, serum alkaline phosphatase, and serum alpha fetoprotein were normal. A multi-phasic helical abdominal computed tumography scan (CT scan) was performed. A non-contrast-enhanced image revealed a very large hypodense mass in the right lobe of the liver (Figure 1). Arterial phase of contrast enhanced image as well as delayed phase image are shown in Figures 2 and 3, respectively. Surgical resection of the mass was performed, and subsequently her symptoms resolved completely. The histopathologic features of the mass lesion are shown in Figure 4.