LARGE PRIMARY RETROPERITONEAL CAVERNOUS HEMANGIOMA.

MF Azem fathi¹,  O Iqtidaar¹, SM Ikhwan¹, S Zubaidah²,  J Hasnan² , VM Leow³

¹Department of Surgery, ²Department of Pathology, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia and ³Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Kepala Batas, Penang, Malaysia

ABSTRACT

Primary retroperitoneal cavernous hemangioma is a very rare benign neoplasm. A retroperitoneal hemangioma may be detected accidentally or be symptomatic due to local compression on adjacent structures. We reported on the diagnosis and treatment of a patient with PRCH with a subtle clinical presentation and atypical findings on computed tomography imaging. The patient presented with right hypochondriac discomfort for one month duration. Computed tomography of the abdomen revealed a huge mass arising from right lobe of liver which was compressing the surrounding structures. Intraoperatively there was a huge cystic like mass arising from the retroperitoneum which had clear margin with the adjacent structures. The tumour was successfully excised with an intact capsule and histopathological examination revealed a cavernous hemangioma.

Keywords : cystic; hemangioma; neoplasm; retroperitoneal

Corresponding author: Ikhwan Sani Mohamad, Department of Surgery, Universiti Sains Malaysia, Kubang Kerian,16150 Kota Bharu, Kelantan, Malaysia.

ikhwansani@yahoo.com.my

Tel: +6097676774

Brunei Int Med J. 2018;14:63-66