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Enormous haemangioma of the liver
  1. Rommel Zerpa,
  2. Eman Helmy Abdelghani,
  3. Gloria Iliescu and
  4. Carmen Escalante
  1. General Internal Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  1. Correspondence to Dr Carmen Escalante, cescalan{at}


Haemangiomas are the most common benign tumours of the liver. Their origin lies in the proliferation of the vascular endothelium. Their growth mechanism is by dilation. They are considered giant when they exceed 5 cm at their greatest diameter. Very uncommon presentations surpass 15 cm; these are known as enormous haemangiomas. We present a case of a 54-year-old woman with an enormous haemangioma of 30 cm in diameter. A mass was present in her right upper quadrant along with dull abdominal pain for several years. It is unknown for how long the tumour had been developing. She underwent surgical management due to evident mass effect. Clinicians should be aware of the importance of early diagnosis in these types of tumours. Its erratic growth pattern, mass effect-related complications and the capacity of producing haematological abnormalities makes it an entity to be considered.

  • haemangioma
  • liver disease

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  • Contributors CE was involved in the clinical management of the patient and identified the case as worth sharing. RZ and EHA were involved in the creation of the article. RZ was responsible for drafting the article. CE and GI critically reviewed the article and provided ideas for its development. All authors were responsible for the subsequent revision of the article and approval of the submitted draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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