Giant hemangioma in a liver studded with small hemangiomas

CASE SUMMARY A 59-year-old woman presented with complaints of gradual fullness of right upper-abdominal quadrant and an increase in abdominal girth for the past 8 years. More recently she had been experiencing a dull abdominal ache for the immediately preceding 2 months. Her bowel and bladder habits were normal. Her physical examination revealed a distended abdomen but no tenderness. Her vitals were stable. The routine blood and urine tests were unremarkable.