Images of Memorable Cases: Case 114 This 47-year-old patient had longstanding jaundice and ascites consequent to biopsy-proven hepatic cirrhosis. 114. Gigantic cutaneous arterial spiders Although arterial spiders vary in size and shape, most are less than 1 to 2 cm in greatest diameter. In the patient shown, however, several spiders on his abdomen were unusually large, the largest being 7x14 cm.