Conservative treatment of abdominal entrapment hemangiomas generally includes: continuous heart rate control therapy to lower blood pressure to minimize shear stress on the aortic wall to avoid continued tearing of the entrapment; serial imaging to test for progression of the entrapment, recurrence of the entrapment, or aneurysm formation; and mandatory surgery when indicated. For heart rate control, beta-blockers, such as betalactam tablets, should be used, and all patients should receive lifelong therapy to reduce the rate of rise in blood pressure and systolic blood pressure, both of which minimize stress on the aortic wall. Serial imaging can detect dilatation or recurrence of the entrapment and whether an aneurysm has formed. Surgery should be mandatory if progression is detected. Abdominal entrapment hemangioma is a critical condition, and upon diagnosis patients should seek treatment aggressively to avoid delay.