What can be the symptoms of hepatic hemangioma?

  Small hepatic hemangioma mostly has no obvious discomfort symptoms. When the hemangioma increases to more than 5cm, the following symptoms may appear: 1. abdominal mass: the mass can be felt in the abdomen, with cystic sensation, mostly without pressure pain, smooth or not smooth surface.  2.Gastrointestinal symptoms: There may be indigestion symptoms, such as hidden pain and/or discomfort in the right upper abdomen, loss of appetite, nausea, vomiting, belching, bloating and fullness after eating, etc.  3.Symptoms of compression of surrounding organs: compression of lower esophagus may cause dysphagia; compression of extrahepatic bile duct may cause obstructive jaundice and gallbladder effusion; compression of portal venous system may cause splenomegaly and ascites; compression of lung may cause dyspnea and pulmonary atelectasis; compression of stomach and duodenum may cause digestive symptoms.  4.Rupture and bleeding: rupture and bleeding of hepatic hemangioma may cause severe pain in the upper abdomen, bleeding and shock symptoms.  5.Kasabach-Merritt syndrome: Blood stagnation in huge hemangioma, large consumption of red blood cells, platelets, coagulation factors II, V, VI and fibrinogen, causing abnormal coagulation mechanism, may further develop into DIC. 6.Heart failure: A few hemangiomas may be accompanied by the formation of arteriovenous fistula and increase of cardiac blood return, leading to heart failure.  7.Tip torsion: When the tipped hemangioma growing freely outside the liver is torsioned, necrosis may occur and severe abdominal pain, shock and untimely treatment may lead to death.