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A 47-year-old male presenting with abdominal distension and pain was found to have a giant hemangioma of the liver measuring 22cm in its greatest diameter upon preoperative MRI. The patient underwent preoperative trans-arterial embolization (TAE) of the hemangioma, followed by extended right hepatectomy for definitive treatment. This case illustrates a novel multidisciplinary approach to the treatment of a massive liver hemangioma. We propose a new classification of these > 20 cm hemangiomas that require preoperative TAE as “Super Hemangiomas.”

Preoperative Trans-Arterial Embolization and Surgical Resection for Giant Liver Hemangioma: A Multidisciplinary Approach