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[Retroperitoneal cavernous hemangioma: a case report]
Insights
A retroperitoneal cavernous hemangioma, a rare vascular tumor, was diagnosed in a 55-year-old man. Surgical resection confirmed the diagnosis, adding to the limited case studies in Japan.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Oncology
Background:
- Retroperitoneal masses require accurate diagnosis and management.
- Cavernous hemangiomas are benign vascular tumors, rarely found in the retroperitoneum.
Observation:
- A 55-year-old male presented with a splenic region mass detected via CT scan.
- The mass showed no interval growth but required detailed examination.
- Aortography revealed a typical cavernous hemangioma supplied by the left inferior phrenic artery.
Findings:
- The resected mass was histopathologically diagnosed as a retroperitoneal cavernous hemangioma.
- The left adrenal gland was found to be intact during surgery.
- This represents the 19th reported case in Japanese literature.
Implications:
- Highlights the importance of advanced imaging like aortography for diagnosing rare retroperitoneal tumors.
- Contributes to the understanding of retroperitoneal cavernous hemangioma presentation and management.
- Underscores the need for comprehensive literature review for rare disease case reporting.
Abstract:
A 55-year-old man was shot at the age of 50. At that time CT revealed a mass near the spleen. Thereafter, CT did not reveal any growth of the mass, but to examine the mass in detail he was hospitalized to our department. The mass was diagnosed as left adrenal cavernous hemangioma, since, on aortography, it was typical cavernous hemangioma and fed mainly from the left inferior phrenic artery. The mass was resected with the spleen, thoracic wall, and part of diaphragma. At the operation the left adrenal gland was identified to be intact. Histopathological diagnosis was retroperitoneal cavernous hemangioma. This is the 19th case of retroperitoneal cavernous hemangioma in the Japanese literature.