Fig. 1.

A 36-year-old female patient with a giant hepatic hemangioma occupying segments IV–VIII. A CT, axial section showing a lesion 22–23 cm in diameter (bidirectional arrows). B CT, coronal section. C Intraoperative view of the hemangioma pushing the right portal vein anteriorly. D Enucleation seemed not to be possible (the right hepatic vein was close and in some parts within the hemangioma); therefore, an extended right hepatectomy was performed after portal vein embolization. The picture shows the surgical specimen with normal hepatic parenchyma and hemangioma. E Surgical specimen with a view to the right hepatic vein. F Situs after extended right hepatic resection (segments IV–VIII). The hypertrophied segments II and III are shown. There is a small hepatic hemangioma in segment III.