Fever as the only manifestation of cavernous hemangioma of liver: Report of one case

Cavernous Hemangioma of the liver is always smaller than 2 cm in diameter. When the tumor grows larger than 5 cm, it compresses the surrounding tissues or organs, thereby causing a number of symptoms such as upper abdominal pain and discomfort, abdominal mass, lack of appetite, nausea, vomiting, weight loss, fever or cold sweating. Fever as the only manifestation is rare, occurring approximately 12% of all cases. In September, 1991, a case of a huge liver hemangioma presented; the clinical symptom was intermittent fever for a duration of three weeks. After a series of examinations, including blood culture and auxiliary diagnostic tests, the patient underwent an exploratory laparotomy and resection of the liver. A variety of tools, which may include dynamic CT, angiography, and MRI, need to be used to ensure a correct diagnosis. Most patients who are found to have liver hemangioma do not require surgical removal. For a minor number, surgery proves necessary if symptoms persist, tumor ruptures (a rarity) or the tumor can not be differentiated from malignancy. In hepatic surgery, the mortality rate of surgical excision is distinctly low.