Infantile hemangioendothelioma is a rare benign hepatic tumor arising from mesenchymal tissue. Most of the cases present with congestive heart failure and asymptomatic abdominal mass were before 6 months of age. We described a patient with projectile vomiting, which is quite an Unusual presentation. Following surgical resection, neither recurrence nor symptoms were seen in 2 years of follow-up. (C) 2004 Wiley-Liss, Inc.