Introduction:

hepatic hemangiomas are the most common benign liver tumors. They are generally asymptomatic and small in size. However, giant hemangiomas can cause symptoms and complications, requiring surgical treatment.

Objective:

to present a case of a patient with a symptomatic giant hepatic hemangioma treated with laparoscopic atypical hepatectomy.

Materials and methods:

a 57-year-old male patient presented with long-standing left hypochondrial pain. Imaging studies (ultrasound, computed tomography, and magnetic resonance imaging) revealed a giant hemangioma in liver segments II and III. An atypical hepatectomy was performed via a laparoscopic approach, with resection of the affected segments. Histopathological analysis confirmed a cavernous hemangioma.

Results:

the surgery was successful, and the resected specimen confirmed the diagnosis. The postoperative recovery was favorable.

Discussion and conclusions:

most benign liver tumors are asymptomatic and are diagnosed incidentally through imaging studies requested for other reasons. This case involved a patient with symptoms associated with the tumor’s large size, presenting with left hypochondrial pain, making surgery crucial. Laparoscopic surgical management of certain benign liver tumors, such as the reported hemangioma, is feasible and safe. It offers advantages such as minimal invasiveness and rapid recovery, highlighting the importance of a personalized surgical approach.

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