Hepatic Hemangioma

Hepatic hemangiomas are the most common benign liver tumors in infancy. Patients with these tumors are usually asymptomatic, requiring only observation. However, both infantile hepatic hemangiomas and congenital hepatic hemangiomas have the potential to cause significant morbidity, particularly when large or diffuse. Imaging, especially US and MRI, is characteristic and essential for diagnosis and monitoring. Post-contrast imaging highlights the peripheral, nodular arterial phase enhancement with centripetal fill-in on delayed phases. Treatment is individualized, ranging from medical therapy with propranolol and corticosteroids to more invasive interventions such as embolization or surgery in severe cases.