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Intravascular papillary endothelial hyperplasia (IPEH) is an uncommon benign vascular lesion generated by an exaggerated endothelial proliferative response to vascular injury. It represents 2-4% of vascular tumors arising in the skin and soft tissue. Complete surgical excision is curative. Unfortunately, it is frequently confused with other vascular or soft tissue tumors. Therefore, promptly establishing the correct diagnosis helps avoid useless extensive investigations and overtreatment. We report a case of IPEH that developed on the skin of the lower left abdominal area in a 40-year-old female patient in the absence of previous local trauma or vascular anomalies. [ABSTRACT FROM AUTHOR]