Retroperitoneal tumor: giant cavernous hemangioma – case presentation and literature review

Abstract

Retroperitoneal hemangiomas are very rare. This paper presents the case of a 71-year-old female patient with giant cavernous hemangioma of the retroperitoneum who underwent surgical treatment for abdominal pain and left lower limb edema. Interventional staged treatment with percutaneous transcatheter arterial embolization prior to surgery was considered. Radical resection of the tumor was performed, which caused the symptoms to abate. Additionally a literature review of cases involving cavernous hemangioma in the retroperitoneal space is presented. No description of retroperitoneal cavernous hemangioma originating from the bowel was found in the analyzed reports.

Giant Adrenal Cyst: A Case Report

“…Most benign adrenal cysts are discovered incidentally with mild symptoms [5]. Because of the large potential retroperitoneal space, adrenal cysts are clinically asymptomatic in their early stages like other primary retroperitoneal tumors [6].…”

“…Most benign adrenal cysts are discovered incidentally with mild symptoms [ 5 ]. Because of the large potential retroperitoneal space, adrenal cysts are clinically asymptomatic in their early stages like other primary retroperitoneal tumors [ 6 ]. The onset of clinical symptoms often indicates that the mass has grown in size or that complications have developed, such as this case.…”

“…In addition to non-specific abdominal distension, abdominal pain is also one of the most common symptoms. When the abdominal viscera and blood vessels are compressed, there may be clinical manifestations such as nausea, vomiting, discomfort after eating, constipation, and lower extremity edema [ 6 ]. A unique danger of adrenal cysts is that impacting the patient's abdomen may cause acute abdomen or even shock if the cyst ruptures [ 7 ].…”

Cavernous hemangioma of the inferior vena cava: A first case report

“…For hepatic hemangioma embolization it is an option. But in retroperitoneum resection is the treatment of choice [4]. Another differential diagnosis is a tumor that invades the IVC, for example, renal angiomyolipoma, generally benign, also pheochromocytoma, renal cell carcinoma, adrenal carcinoma, hepatocellular carcinoma, and a pseudolipoma [11].…”

“…Although cavernous hemangiomas are most commonly located in the skin of the head or neck, theoretically they may be found in nearly all organs with vascular endothelial cells. Of the cases in non-skin tissues, the most common gastrointestinal hemangiomas are in the liver [2], other locations that have been described are in the heart [3], ileum [4], adrenal gland [5], mediastinum [6], in a persistent left superior vena cava [7] and the thymus [8].…”