Giant Hepatic Hemangioma: A Case Report

Hepatic hemangiomas are the most common benign liver tumors,
typically asymptomatic and discovered incidentally. Giant hepatic
hemangiomas (>10 cm) are rare and may present with symptoms due to
mass effect. This report describes a 45-year-old woman presenting with
abdominal fullness due to a massive hepatic hemangioma measuring
approximately 20.5×17.5×23 cm in the left lobe, with a smaller lesion
in the right lobe. Diagnosis was confirmed via ultrasonography,
contrast-enhanced computed tomography (CECT), and fine-needle
aspiration cytology (FNAC). Laboratory findings included mild
normocytic normochromic anemia and leucopenia, with normal liver
function tests and tumor markers. Management was conservative, with
recommendations for open biopsy. This case underscores the diagnostic
utility of multiphasic imaging and the benign nature of these lesions,
supported by a review of similar cases in the literature.