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Adult primary retroperitoneal cavernous hemangioma: a case report.

He H, Du Z, Hao S, Yao L, Yang F, Di Y, Li J, Jiang Y, Jin C, Fu D - World J Surg Oncol (2012)

Bottom Line: 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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pancreatic Disease Institute, Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.

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.

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Related in: MedlinePlus

Computed tomography scans. (A–C) Plain scan, artery phase, and portal phase, respectively, showed a cyst-like and well-encapsulated tumor, with mild enhancement of the wall on portal phase. (D–F) Coronal and transverse sections showed that the tumor was compressing the inferior vena cava, duodenum, and right upper ureter respectively (white arrows).
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Figure 1: Computed tomography scans. (A–C) Plain scan, artery phase, and portal phase, respectively, showed a cyst-like and well-encapsulated tumor, with mild enhancement of the wall on portal phase. (D–F) Coronal and transverse sections showed that the tumor was compressing the inferior vena cava, duodenum, and right upper ureter respectively (white arrows).

Mentions: Imaging studies were carried out. US showed a giant cystic mass in the right upper quadrant, accompanied by right hydronephrosis and right upper ureterectasia, but no additional abnormalities of the liver, cholecyst, pancreas, or urinary tract were found. Using enhanced CT, a cyst-like and well-circumscribed mass measuring 87 mm at the greatest diameter with low density (14.8 Hounsfield units) was found, which was adjacent to the inferior vena cava with its upper pole between the third part of the duodenum and the right renal hilum. Mild enhancement of the thick wall and consistent hypodensity within the inner component of the mass were seen during both the arterial and portal phases of CT. There was no evidence of feeding arteries from the surrounding organs or of adenopathy. The CT scan also confirmed the obstruction of the right upper urinary tract (Figure1).


Adult primary retroperitoneal cavernous hemangioma: a case report.

He H, Du Z, Hao S, Yao L, Yang F, Di Y, Li J, Jiang Y, Jin C, Fu D - World J Surg Oncol (2012)

Computed tomography scans. (A–C) Plain scan, artery phase, and portal phase, respectively, showed a cyst-like and well-encapsulated tumor, with mild enhancement of the wall on portal phase. (D–F) Coronal and transverse sections showed that the tumor was compressing the inferior vena cava, duodenum, and right upper ureter respectively (white arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3539936&req=5

Figure 1: Computed tomography scans. (A–C) Plain scan, artery phase, and portal phase, respectively, showed a cyst-like and well-encapsulated tumor, with mild enhancement of the wall on portal phase. (D–F) Coronal and transverse sections showed that the tumor was compressing the inferior vena cava, duodenum, and right upper ureter respectively (white arrows).
Mentions: Imaging studies were carried out. US showed a giant cystic mass in the right upper quadrant, accompanied by right hydronephrosis and right upper ureterectasia, but no additional abnormalities of the liver, cholecyst, pancreas, or urinary tract were found. Using enhanced CT, a cyst-like and well-circumscribed mass measuring 87 mm at the greatest diameter with low density (14.8 Hounsfield units) was found, which was adjacent to the inferior vena cava with its upper pole between the third part of the duodenum and the right renal hilum. Mild enhancement of the thick wall and consistent hypodensity within the inner component of the mass were seen during both the arterial and portal phases of CT. There was no evidence of feeding arteries from the surrounding organs or of adenopathy. The CT scan also confirmed the obstruction of the right upper urinary tract (Figure1).

Bottom Line: 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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pancreatic Disease Institute, Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.

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.

Show MeSH
Related in: MedlinePlus