“…When there are more than 5 cutaneous hemangiomas, the risk of hepatic hemangiomatosis significantly increases. 7 Although our patient’s skin lesions were relatively small, they were numerous, raising the question of hepatic hemangiomatosis. The fact that multiple and diffuse hepatic hemangiomatosis frequently presents with high-output cardiac failure, hepatomegaly, valve regurgitations, coagulopathy, pulmonary hypertension, and hypothyroidism 3,8 – some of which were significant findings of our case – made us lean towards this potential diagnosis.…”