[Giant hepatic hemangioma: A rare cause of fever of unkonwn origin fever].

INTRODUCTION

Prolonged fever of unknown origin (FUO) is a complex diagnostic entity, most commonly caused by infectious, neoplastic, or inflammatory conditions. Hepatic hemangiomas, although frequent and benign, are rarely implicated.

CASE REPORT: A 53-year-old woman was hospitalized for FUO. Imaging revealed a giant hepatic hemangioma with areas of necrosis and hemorrhage. In the absence of infectious, neoplastic, or autoimmune etiology, the hemangioma was considered the most likely cause of fever. Arterial embolization using lipiodol and bleomycin led to complete resolution of the fever, normalization of inflammatory markers, and significant tumor volume reduction.

CONCLUSION

Hemangiomas as a cause of FUO are extremely rare, typically associated with giant lesions and necrotic or hemorrhagic complications. While surgical resection is the standard treatment, our case suggests that embolization may offer an effective and less invasive alternative.