Korean J Hepatol.  2011 Mar;17(1):66-70. 10.3350/kjhep.2011.17.1.66.

A case of pedunculated hepatic hemangioma mimicking submucosal tumor of the stomach

• Moon HK
• Kim HS
• Heo GM
• Shin WG
• Kim KH
• Jang MK
• Lee JH
• Kim HY
• Kim DJ
• Cho SJ

• KMID: 1105516
• DOI: http://doi.org/10.3350/kjhep.2011.17.1.66

Abstract

Hepatic hemangioma is the most common benign tumor of the liver. Most such hemangiomas are small, asymptomatic, and have an excellent prognosis. Giant hepatic hemangioma has been reported in the literature, but the exophytic and pedunculated forms of hepatic hemangioma are rare. A 56-year-old woman was referred to our hospital under the suspicion of having a gastric submucosal tumor. Abdominal computer tomography (CT) scans showed a pedunculated mass from the left lateral segment of the liver into the gastric fundus, exhibiting the atypical CT findings of hepatic hemangioma. We therefore decided to perform laparoscopic resection based on the symptoms, relatively large diameter, inability to exclude malignancy, and risk of rupture of the exophytic lesion. The pathology indicated it to be a cavernous hemangioma of the liver. Herein we report a case of pedunculated hepatic hemangioma mimicking a submucosal tumor of the stomach due to extrinsic compression of the gastric fundus.

Keyword

Hemangioma; Liver; Laparoscopy; Stomach neoplasm

MeSH Terms

Diagnosis, Differential
Endoscopy, Digestive System
Female
Hemangioma/*diagnosis/pathology/surgery
Humans
Liver Neoplasms/*diagnosis/pathology/surgery
Middle Aged
Stomach Neoplasms/diagnosis
Tomography, X-Ray Computed