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Case Reports
. 2023 Mar 7;2023(3):rjad095.
doi: 10.1093/jscr/rjad095. eCollection 2023 Mar.

Radio-pathological diagnosis of a retroperitoneal cavernous hemangioma

Ahmed S Khazaal  1 , Omar M Sultan  2 , Inas A A M Rasheed  3
Affiliations
Case Reports

Radio-pathological diagnosis of a retroperitoneal cavernous hemangioma

Ahmed S Khazaal et al. J Surg Case Rep. .

Abstract

Retroperitoneal cavernous hemangioma (RCH) is a rare benign vascular malformation. Only a few cases of RCH were reported. Here we present a case of RCH in a 66-year-old female complaining of long-standing progressive dull abdominal pain.

Keywords: Abdominal mass; Hemangioma; Retroperitoneal Space.

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Figures

Figure 1
Figure 1
Contrast-enhanced axial CT images—soft tissue window, show well-defined peripherally enhancing mass lesion at left para-aortic region. No local invasion.
Figure 2
Figure 2
Contrast-enhanced reformatted coronal images—soft tissue window, show well-defined peripherally enhancing mass lesion seen along the left lateral wall of distal aorta and left common iliac artery. Preserved fat planes between the lesion and adjacent aorta and common iliac can be well appreciated with no signs of local invasion. A metal artifact from right hip prostheses is noted.
Figure 3
Figure 3
Contrast-enhanced reformatted sagittal images—soft tissue window, show well-defined peripherally enhancing lobular mass lesion. Preserved fat planes around the lesion are noted with no signs of local invasion.
Figure 4
Figure 4
Intraoperative photo, showing the mass and ureter.
Figure 5
Figure 5
Postoperative photo shows well-defined lobulated dark mass.
Figure 6
Figure 6
H&E-stained histological sections show hugely ectatic variable sizes vascular spaces lined by flattened endothelial cells filled with blood, separated by fibrous tissue and extending between the fatty tissues. Magnification power: ×40. Diagnosis: cavernous hemangioma.
See this image and copyright information in PMC

References

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