Adult primary retroperitoneal cavernous hemangioma: a case report

作者:He Hang; Du Zunguo; Hao Sijie; Yao Lie; Yang Feng; Di Yang; Li Ji; Jiang Yongjian; Jin Chen; Fu Deliang*
来源:World Journal of Surgical Oncology, 2012, 10: 261.
DOI:10.1186/1477-7819-10-261

摘要

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 x 80 x 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.

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