Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such\nas rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist\ntreatment is indicated. Surgical management is the most common treatment for HH.\nCase presentation: A 38-year-old male patient was diagnosed with HH for 7 years. The initial presentation of the\nmass was progressive abdominal distention causing early satiety, gastro-esophageal reflux disease, vomiting,\ndysphagia and weight loss. Later, the patient developed bilateral lower extremity edema. Imaging with computed\ntomography (CT scan) showed a large mass measuring 32.4*26*3.1 cm which was considered unresectable. The\npatient underwent a deceased donor liver transplantation. The excised mass was 9 kg. After nine days of hospitalization\nthe patient was discharged in good condition. Three months later, the patient was admitted due to fever and\ncytomegalovirus infection for which he received intravenous ganciclovir and was discharged. In the latest follow-up\nthe patient had no liver or kidney dysfunction eight months after the transplantation.\nConclusion: With appropriate patient selection, liver transplantation can be considered as a treatment option for\npatients with huge HHs which are life-threatening and surgically unresectable.
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