The clinicopathological features of a 3-year-old child with multiple primary hepatic angiosarcomas were analyzed by light microscopy and immunohistochemistry, and the literature was reviewed. The patient was a 3-year-old girl with a large mass in the right lobe and multiple nodules of different sizes in the left lobe of the liver. The surface of the nodules was grayish white and grayish red, tough when touching and multifocal bleeding. The histologic pattern was varied, including areas with large sinusoids, milder forms of type I and type II hemangioendothelioma, angiosarcoma. The sarcomas also showed a variety of morphologies (solid growth of spindle cell, patch nest distribution of epithelioid follicular cell, irregular round immature blood vessel formation). The tumor cells were significantly heterogeneous, the nucleus was deeply stained and nuclear divisions were easy to see. Immunohistochemical staining showed diffuse positive for CD31, CD34, ERG, GLUT1 and Vimentin, negative for Fli-1 and factor VIII. Ki-67 index was about 5%–60%. Clinical manifestations included moderate anemia, hypothyroidism, etc. Primary hepatic angiosarcomas in children were very rare. Angiosarcomas with multiple histological morphologies (from benign to intermediate to malignant) were rarer and had a poor prognosis. It should be widely sampled and histologically distinguished from other benign and intermediate vascular tumors to make a definite diagnosis.