Hepatobiliary scintigraphy and hepatic cavernous hemangioma

As the most common benign hepatic tumor, hepatic hemangioma may be misinterpreted during radiographic cancer staging, inadvertently biopsied, or pursued surgically as a solitary malignancy. Two cases of hepatic hemangiomas discovered during hepatobiliary scintigraphy are presented: the first involving multiple anechoic lesions by ultrasound and the second involving a solitary echogenic lesion by ultrasound. Whereas the former patient eventuated in surgery solely for the evaluation of a space-occupying lesion, the latter was totally obstructed at the common bile duct; both patients' hemangiomas were documented surgically.