Giant hepatic hemangioma: a challenging diagnosis

Sana Landolsi, Imène Ridène

PAMJ. 2021; 38:354. Published 13 Apr 2021 | doi:10.11604/pamj.2021.38.354.25620

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.
Corresponding author
Sana Landolsi, Department of Surgery, Mahmoud El Matri Hospital, Ariana, Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia (sanalandolsi9@gmail.com)

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