Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a giant hepatic hemangioma (>5cm) incidentally identified on imaging. Patient reports [asymptomatic / localized RUQ discomfort / early satiety / abdominal fullness]. No history of jaundice, unintentional weight loss, or constitutional symptoms. Hemangioma size and stability monitored via serial imaging.
Clinical Examination Findings
Abdominal exam: Soft, non-tender, non-distended. Palpable mass noted in [RUQ / epigastrium], consistent with giant hepatic hemangioma. No hepatomegaly or splenomegaly. Bowel sounds normoactive. No stigmata of chronic liver disease (spider angiomata, caput medusae, or palmar erythema).
Treatment Protocol
Management plan: Conservative approach with serial imaging (US/MRI) at [6/12] month intervals to monitor for growth or complications. Indications for surgical intervention (resection/enucleation) or interventional radiology (TACE/embolization) reserved for symptomatic cases, rapid growth, or risk of rupture. Patient advised to avoid contact sports and trauma to the abdominal region.