Abstract
A 31-year-old woman had a 6-cm hemangioma of the liver. At 2 years after diagnosis of the hemangioma, she developed abdominal pain and frequent fevers. She admitted to our hospital for the purpose of evaluation and treatment. Enhanced computed tomography (CT) revealed a giant hemangioma measuring 40 cm in diameter in the right lobe of the liver and a 10 cm cystic space in the right abdominal wall. Right hepatectomy was performed by an anterior approach, because the tumor was too large to be mobilized with the liver. An abscess space was connected between the right lateral abdominal wall and right side of the tumor. The resected tumor weighed 3160 g and was a red-brown elastic hard mass with a white abscess wall. Results of the pathological examination confirmed the diagnosis of a cavernous hemangioma with the abscess. Microbiological examination of the fluid revealed Fusobacterium necrophorum.
