Sclerosed Hemangioma of the Liver

Kim, Yong Hoon; Kang, Koo Jeong; Lim, Tae Jin

Abstract

Hepatic hemangioma is one of the most frequent benign neoplasm of the liver. Its radiologic findings are easily identified to peripheral strong contrast enhancement in the early phase of dynamic comupted tomography (CT) and progressive contrast fill-in on the delay phase. Nevertheless, sclerosed hemangioma is a very rare disease and a regressed form of cavernous hemangioma. Therefore, its differential diagnosis is very difficult. It should be included in the differential diagnosis of other hepatic lesions such as hepatocellular carcinoma, intrahepatic peripheral cholangiocarcinoma and metastatic hepatic tumor. The treatment of sclerosed hemangioma should be conservative management, if diagnostic confirmation was made preoperatively. In this report, we present a case of a 48-year-old male who was treated for hepatic resection. We were not able to identify the sclerosed hemangioma preoperatively.