Sclerosing hepatic hemangioma (SHH) is a rare benign tumor. Its unknown etiology, unpredictable behavior, limited available information, and lack of medical experience in its diagnosis and treatment have made this condition a clinical challenge, as it is often mistaken for malignant hepatic and biliary tumors. Consequently, its therapeutic approach remains a subject of controversy. The aim of this manuscript was to report two cases of SHH incidentally diagnosed during the course of laparoscopic cholecystectomy and to present a literature review with an emphasis on the diagnostic and therapeutic process. Case 1. A 52-year-old female patient, diagnosed with chronic cholecystitis, underwent an elective laparoscopic cholecystectomy. During the procedure, a 55-mm hepatic lesion located in segments V-VI was identified. An additional tumorectomy was performed without complications. The postoperative course was favorable, and the patient was discharged 6 hours later. Histological examination confirmed a SHH. Case 2. A 51-year-old female patient, diagnosed with cholelithiasis, underwent an elective laparoscopic cholecystectomy. During surgery, a 45-mm whitish, well-demarcated hepatic lesion in segments IVb-V was detected. A laparoscopic cholecystectomy and tumorectomy were carried out. The postoperative course was favorable, and the patient was discharged 6 hours later. Histological examination confirmed a SHH. In conclusion, two cases of SHH are documented. The existing evidence is scarce, heterogeneous, and based solely on case reports, making it impossible to draw valid and reliable conclusions.

KEY WORDS: Hemangioma; Hemangioma/surgery; Hepatectomy; Sclerosing hemangioma; Hepatic sclerosed hemangioma; Sclerosed hemangioma of the liver; Liver resection; Case report.