Published in:
Open Access
01-12-2012 | Case report
Adult primary retroperitoneal cavernous hemangioma: a case report
Authors:
Hang He, Zunguo Du, Sijie Hao, Lie Yao, Feng Yang, Yang Di, Ji Li, Yongjian Jiang, Chen Jin, Deliang Fu
Published in:
World Journal of Surgical Oncology
|
Issue 1/2012
Login to get access
Abstract
Primary retroperitoneal cavernous hemangioma (PRCH) in an adult is extremely rare. We report on the diagnosis and treatment of a patient with PRCH with subtle clinical features and atypical findings on imaging scans. A 38-year-old man was admitted to hospital with a 5-day history of epigastralgia after alcohol drinking. Using various imaging methods, we found a giant cyst-like retroperitoneal mass compressing the surrounding organs. Surgical resection of the tumor was performed, and the mass was found to be a cavernous hemangioma measuring 90 × 80 × 60 mm, with a thick fibrotic wall and extensive intracystic hemorrhage. Physicians should be aware that PRCH may mimic a cystic neoplasm, and that a large tumor size probably indicates intracystic hemorrhage. Surgical resection is a curative approach for PRCH.