Hepatic Sclerosing Hemangioma Simulating Gallbladder Carcinoma: A Rare Case

J Clin Exp Hepatol. 2018 Dec;8(4):474-477. doi: 10.1016/j.jceh.2018.07.003. Epub 2018 Jul 19.

Abstract

Sclerosing hemangiomas of the liver are rare benign tumors of the liver. Although hepatic hemangiomas are the most common benign liver tumor, they are mostly cavernous in nature. A hepatic sclerosing hemangioma is defined by presence of fibrosis and hyalinization as a result of degenerative changes in a cavernous hemangioma. The radiological features of sclerosing hepatic hemangioma can resemble those of cholangiocarcinoma, fibrolamellar carcinoma, or metastasis. We present a case of a hepatic sclerosing hemangioma in which an unusual magnetic resonance imaging (MRI) and computed tomography (CT) appearance lead to radiographic concern for gallbladder carcinoma. To the best of our knowledge, this is the first case in the literature of a hepatic sclerosing hemangioma mimicking a gallbladder carcinoma.

Keywords: CT, Computed Tomography; MRI, Magnetic Resonance Imaging; gallbladder; mimicker; radiology; sclerosing hemangioma.