The online version of this article (doi:10.1186/1477-7819-10-261) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
HH, HSJ, and DY collected the information, reviewed the literatures and wrote the manuscript. YL, YF, LJ, and JYJ participated in analyzed the data and interpreted the imaging features. DZG carried out the pathological studies. JC and FDL edited the article, and gave the final approval of the version to be published. All authors read and approved the final manuscript.
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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- Adult primary retroperitoneal cavernous hemangioma: a case report
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