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<p>Hepatic hemangiomas, the most common benign liver masses, are often asymptomatic and do not require treatment; however, some subtypes develop complications, including diffuse hepatic hemangiomatosis, a rare disease in which hemangiomas replace the liver parenchyma. We describe a case in which the patient presented with esophageal varices. Upon admission, computed tomography showed a normal liver volume of 829&#xa0;mL, 69% lower than the standard liver volume. Our findings suggest that in cases of large hepatic hemangiomas, regular imaging is necessary, especially if the liver volume falls below 70% of the standard volume; moreover, the possibility of complications should be considered.</p>

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A case of portal hypertension due to an invasive hepatic hemangioma following a long-term disease course

  • 期刊论文

  • 发表日期：

    2025年12月8日

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  • Naruhiro Kimura,
  • Koutarou Yoshida,
  • Yuuichi Kojima,
  • Yuto Tanaka,
  • Nao Nakajima,
  • Hiroyuki Abe,
  • Satoshi Ikarashi,
  • Akira Sakamaki,
  • Kenichi Mizuno,
  • Shuji Terai

摘要

Hepatic hemangiomas, the most common benign liver masses, are often asymptomatic and do not require treatment; however, some subtypes develop complications, including diffuse hepatic hemangiomatosis, a rare disease in which hemangiomas replace the liver parenchyma. We describe a case in which the patient presented with esophageal varices. Upon admission, computed tomography showed a normal liver volume of 829 mL, 69% lower than the standard liver volume. Our findings suggest that in cases of large hepatic hemangiomas, regular imaging is necessary, especially if the liver volume falls below 70% of the standard volume; moreover, the possibility of complications should be considered.