The presence of blood flow in hepatic hemangioma is a normal physiological phenomenon that refers to the presence of blood flow in the tumor of hepatic hemangioma. Hepatic hemangioma is a mass structure consisting of a large number of arteriovenous vascular malformations in the liver tissue. It is a normal physiological phenomenon as the tumor may wrap around the surrounding capillaries or smaller blood vessel ends in the process of growth, which leads to the imaging manifestation of the presence of blood flow in it. For smaller hepatic hemangiomas, it is recommended to have regular imaging review to observe the growth rate of the tumor and blood flow through the blood vessels. If the hepatic hemangioma is large in size or has caused localized compressive symptoms, early surgical resection is recommended for rapid eradication. After the appearance of hepatic hemangioma, it is recommended to go to the hospital regularly for oncological review, and consult the doctor’s advice to choose the appropriate option for treatment.