“…Concerning the clinical image of primary hepatic leiomyosarcomas, they are often asymptomatic (21,25,30) or their symptoms are non-specific (4, 8, 10-12, 14, 16, 17, 19, 21, 23, 27-29, 31, 32, 34, 37, 38, 40). Abdominal pain or discomfort (4, 8, 11, 12, 14, 16, 17, 19, 22, 23, 27-29, 34, 37, 38), a palpable mass (4,19,22,28,29,38), fever (17,23,28,31,32,40), jaundice (39), anorexia (10,12,27,28,32), nausea or vomiting (31,34) and weight loss (4,8,10,12,14,16,19,28,32,37) are among the reported manifestations. A case with acute bleeding has also been reported (24).…”