Cavernous hemangioma of the liver with cyst formation is a very rare condit
ion. A case of cavernous hemangioma of the liver with unilocular giant cyst
formation undergoing surgical removal is reported. Notably, the patient al
so had Budd-Chiari syndrome with an obstructing lesion in the inferior vena
cava. The cystic degeneration of the hemangioma implied a relationship wit
h apoptosis. This is the first reported case of Budd-Chiari syndrome caused
by advanced cystic degeneration of hepatic cavernous hemangioma. (C) 2001
Blackwell Science Asia Pty Ltd.