Fever of unknown origin: a rare presentation of giant hepatic hemangioma
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Updated: Feb 8, 2026

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
Narendra Pandit1, Laligen Awale1, Samir Chaudhary1
1Surgical Gastroenterology Division, Department of Surgery, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Abstract:
Hepatic hemangioma is mostly asymptomatic and incidental finding on imaging. Fever of unknown origin as a sole presentation is rare. We present an interesting case report of a 49-year-old female, who presented with fever for three months. Extensive blood investigations and infectious workup failed to reveal the cause. Contrast computed tomography of abdomen revealed a giant (15 × 11 cm) hemangioma arising from left lateral segment of liver, and was attributed as a cause for fever. Surgical excision of hemangioma completely ameliorated the fever.
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