466 Resection or Enucleation for Extremely Giant Hepatic Haemangiomata? A Case Report and Review of The Literature

Abstract Background Cavernous hepatic haemangiomas are benign liver tumours and although common when small, giant (usually accepted as being greater than 10cm) infrequent. Treatment is indicated in patients who symptomatic or if diagnosis unclear, with haemangiomas, many support expectant management of asymptomatic lesions due to the risk major complications. Traditionally resection has been primary treatment option for these lesions, but a variety other techniques, including enucleation, have described safe effective alternatives. There remains equipoise respect best above 10cm. Cases such size rare so there paucity data available. Case presentation We present case 65-year-old male underwent successful anatomical 5kg cavernous haemangioma 26cm diameter following its incidental identification during an ultrasound scan. also discuss compare role enucleation haemangiomata 20cm diameter. Conclusions This demonstrates unusually which, contrast majority literature, provides valuable addition limited evidence base this condition by resection.