A liver hemangioma is the most common benign hepatic tumor, formed by malformed blood-filled vessels. Most lesions are small (<5 cm) and discovered incidentally during imaging for unrelated problems; they remain asymptomatic throughout life. Symptoms, when present, relate to large size, rapid growth, or complications such as thrombosis, bleeding, or pressure on neighboring structures.
- Right-upper-quadrant discomfort
Dull, persistent pain or fullness under the ribs is the usual complaint, often exacerbated after large meals or prolonged sitting . - Nausea, early satiety, bloating
A bulky hemangioma can compress the stomach and duodenum, leading to rapid fullness, eructation, and occasional vomiting . - Poor appetite and weight loss
Chronic discomfort and early satiety may reduce oral intake, resulting in mild cachexia over time. - Jaundice (rare)
Obstruction of intra-hepatic bile ducts by a centrally located or pedunculated tumor can elevate conjugated bilirubin, producing scleral icterus and dark urine . - Acute pain with bleeding or rupture
Sudden severe pain, hypotension, and anemia signify hemorrhage into the lesion or intraperitoneal rupture—an emergency requiring immediate care . - Fever and inflammatory markers
Thrombosis within the hemangioma or secondary inflammation can cause low-grade fever and elevated C-reactive protein without infection.
Because most lesions remain stable, any new or worsening symptom in a patient with a known hemangioma should prompt repeat imaging to assess for enlargement or complications.
| Symptom / Sign | Typical Features |
|---|---|
| RUQ discomfort | Dull ache, fullness, post-prandial |
| Nausea & early satiety | Large mass compresses stomach |
| Weight loss | Secondary to reduced intake |
| Jaundice | Rare, due to bile-duct compression |
| Acute pain + shock | Bleeding or rupture |
| Fever | Thrombosis/inflammation |