Onuigbo, Department of Pathology, Medical Foundation and Clinic, Enugu, Nigeria.

Hemangiomas may strangely show up on the liver. Case reports of it in this setting have emerged from places as dispersed as the USA, China, Taiwan, Trinidad & Tobago, Japan, and Lebanon. As a result, the Igbos, an indigenous ethnic group living in a developing region of South Eastern Nigeria, are the authors of this text. Given that it turned out to be a rare hemangioma, the present article is predicated on the preclinical suspicion of the common cirrhosis.Self-mutilation is one of the types of insurance fraud. An insurance claim involving self-mutilation will be examined in this study, and recommend.

Keywords:Community; Case Report; Liver; Developing Hemangioma

Case studies suggest that the liver may display the typical hemangioma. The USA [1], China [2], Taiwan [3], Trinidad & Tobago [4], Japan [5], and Lebanon [6] are just a few of the far-flung nations that have reported such incidents. The creation of a histopathological data bank is now thought to help epidemiological analysis [7]. In order to serve the Ibo ethnic group, a pool of this kind was created in Enugu, the former capital of the Government of the Eastern Region of Nigeria [8]. The preclinical suspicion of common cirrhosis served as the foundation for the current paper. It ultimately proved out to be a rare hemangioma, nevertheless.

An Ibo woman in her 70s visited the St. Joseph's Hospital in Adazi, Nigeria, while she was in OU. There, one of us caught sight of her (RCOE). After-meal abdominal pain, internal heat, appetite loss, and three-year-old constipation were the complaints. On those suspected of having cirrhosis, investigations led to a liver biopsy. The tissue sample that the co-author (WIBO) was given measured 4 x 3 x 2.5 cm. Peripheral liver tissue that seemed normal and pale yellow was observed on slice. The tissue was more deeply coloured, profoundly hemorrhagic, and occasionally streaked with pale colour. The liver looked mostly normal under the microscope and had a cavernous lesion. The tumour was predominantly conventional, with erythrocyte-filled vascular spaces. There was no mitotic activity. In light of this, cavernous hemangioma was diagnosed.

Hemangiomas "are the most frequent benign tumours seen in the liver and are often asymptomatic and incidentally discovered," according to USA authors [1]. However, bleeding did happen in that instance. The Tinidad & Tobago case also did so [4]. No blood was shed by our patient. Unusual lesions could be seen. Based on imaging characteristics from the USA [9], it was determined that sclerosing hemangioma was distinct from primary or metastatic malignancy. Transcatheter arterial embolization was necessary for the "large" hemangioma type before trisectorectomy [5]. This kind, which originated in China [2], was linked to adult Kasabach-Merritt syndrome, a condition marked by anomalies in the haematological and coagulative systems. Exceptionally, the disease may be widespread in the liver and present in Lebanon [6] with a distinctive solitary cutaneous hemangioma. In this situation, screening ultrasound for the concerned patients—usually infants—was advised. The Taiwan instance showed the capillary form, which was described as "extremely unusual" in adults and contrasted with our patient's cavernous lesion [3].

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2. Liu X, Yang Z, Tan H, Xu L, Sun Y, et al. (2017) Giant liver hemangioma with adult Kasabach-Merritt syndrome: Case report and literature review. Medicine (Baltimore) 96: 7688.

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5. Akamatsu N, Sugawara Y, Komagome M, Ishida T, Shin N, et al. (2010) Giant liver hemangionma resected by trisectorectomy after efficient volume reduction by transcatheter arterial embolization: A casereport. Journal of Medical Case Reports 4: 283.

6. Tasseh FA, El‐Khansa M, Abd O, Khalek AA, El‐Rifai N (2017) Diffuse hepatic hemangioma with single cutaneous hemangioma: An alerting occurrence. Clinical Case Reports 5: 887-889.

7. Macartney JC, Rollaston TP, Codling BW (1980) Use of a histopathology data pool for epidemiological analysis. Journal of Clinical Pathology 33: 351-353.

8. Basden GT (1966) Niger Ibos. Cass, London.

9. Behbahani S, Hoffmann C, Stonebride R, Mahboob S (2016) Clinical case report: Sclerosing hemangioma of the liver, a rare but great mimicker. Radiology Case Reports 11: 58-61.

Wilson I. B. In a Growing Community:Hepatic Hemangioma. International Journal of Gastroenterology and Hepatology 2022.