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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2021; 4(03): 236-239
DOI: 10.1055/s-0041-1728982
Case-in-Discussion

Imaging Characteristics and Management of Infected Hepatic Hemangioma: Case-in Discussion

Karolin Ginting
1   Department of General Surgery, The Jewish Hospital, Cincinnati, Ohio, United States
,
Anisha Tailor
2   Department of Internal Medicine, McLaren Macomb Hospital, Mount Clemens, Michigan, United States
,
Timothy Braverman
3   Department of Pathology, The Jewish Hospital, Cincinnati, Ohio, United States
,
Ajay Agarwal
4   Department of Radiology, The Jewish Hospital, Cincinnati, Ohio, United States
,
Shyam Allamaneni
1   Department of General Surgery, The Jewish Hospital, Cincinnati, Ohio, United States
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Abstract

Hepatic hemangiomas are the most common type of benign liver tumors. We present a case of an infected hepatic hemangioma, which posed a diagnostic challenge. A 43-year-old female presented with right upper quadrant pain after blunt force trauma and intentional weight loss. CT and MRI were done, showing a posterior right lobe liver mass. Imaging characteristics were thought to be suggestive of metastatic disease, with a differential diagnosis of abscess. Drainage and biopsy of the mass revealed Streptococcus sp. infection, and pathology showed a cavernous hemangioma with inflammation. Patients presenting with systemic symptoms and an indeterminate liver mass on imaging should be evaluated for infected hepatic hemangiomas. Biopsy may be needed to rule out cancer. Management may include surgical resection; however, antibiotics and percutaneous drainage can suffice, as in this case.

Keywords

hemangioma - liver abscess - drainage


Publication History

Article published online:
11 June 2021

© 2021. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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