Giant Pedunculated Liver Hemangioma Torsion a Rare Clinical Presentation, Case Report

Abstract

Introduction: Hemangioma is the most common benign tumor of liver but pedunculated liver hemangioma is not a common clinical presentation. In addition complicated liver pedunculated hemangioma with torsion is an extremely rare clinical manifestation of liver hemangioma. Case presentation: A 58 years old woman with acute abdominal pain. After clinical investigation it was found that she had torsion of giant pedunculated liver hemangioma and she was undergone laparoscopic resection of hemangioma. Discussion: The most common benign tumor of liver is hemangioma, but pedunculated type is not common and complicated with torsion is extremely rare condition and only a few cases have been reported. It is more occur in left liver lob and more than half of cases are asymptomatic. Our patient had acute abdominal pain. She had left liver lob originated pedunculated hemangioma which was complicated with torsion. Conclusion: Pedunculated liver hemangioma is a rare type of liver hemangioma but it can be one of the possible causes of acute abdominal pain if it is complicated.