A retroperitoneal cavernous hemangioma arising from the gonadal vein: A case report

Medicine (Baltimore). 2020 Sep 18;99(38):e22325. doi: 10.1097/MD.0000000000022325.

Abstract

Rationale: Cavernous hemangioma (CH) is not commonly found within the abdomen or the retroperitoneum. We report the first case of CH originating from the gonadal vein.

Diagnosis: A retroperitoneal tumor was found incidentally in a 57-year-old female patient. The differential diagnoses from the initial imaging studies included gastrointestinal stromal tumor, carcinoid tumor, neurogenic tumor, metastasis, lymphadenopathy, or another rare tumor.

Interventions: A surgical en-bloc excision was performed via a subcostal incision and intravenous CH arising from a gonadal vein was diagnosis by the urological pathologist.

Outcomes: After the surgery, no complications were noted. A computed tomography scan was performed after 3 months follow-up and no tumor recurrence was found.

Lessons: This case reminds us that CH should be listed as one of the differential diagnoses for a retroperitoneal tumor. A definite diagnosis of CH relies on surgical resection. The prognosis is well if adequate resection is performed.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Hemangioma, Cavernous / diagnostic imaging
  • Hemangioma, Cavernous / pathology*
  • Hemangioma, Cavernous / surgery
  • Humans
  • Middle Aged
  • Retroperitoneal Neoplasms / diagnosis
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Vascular Neoplasms / diagnostic imaging
  • Vascular Neoplasms / pathology*
  • Vascular Neoplasms / surgery