Hemangioma occurs in the liver more frequently than in any other internal organ. The diagnosis of hemangioma of the liver is seldom made preoperatively. An epigastric mass is usually noted first, which may or may not be accompanied by mild indigestion, pain, fullness after eating, or even jaundice.1-4 Most symptoms are nonspecific and probably related to pressure. Cecil5 presents a patient who had intermittent obstructive symptoms due to a large hemangioma pressing on the cardiac end of the stomach.
Complications of the hemangioma have been reported. Spontaneous rupture has been reported in adults6 and in infants.7 These tumors are quite friable, and simple biopsy is dangerous.3 One case of continued, uncontrollable, and fatal hemorrhage from a biopsy site in a hemangioma has been reported.4 The lesion is a vascular one in an extremely vascular organ, and the danger of hemorrhage from the tumor is
FINLEY RK, SHEPARD N, SHAFFER JM. Hemangioma of the LiverReport of a Case with Resection of the Left Hepatic Lobe. AMA Arch Surg. 1957;74(4):543-546. doi:10.1001/archsurg.1957.01280100061009