CASE REPORT: PRIMARY RETROPERITONEAL VENOUS HEMANGIOMA MIMICKING RETROPERITONEAL LYMPHADENOPATHY IN PHRACHOMKLAO HOSPITAL

Authors

  • Supang SINTHUNYATHUM Division of Radiology, Phrachomklao Hospital
  • Pipat CHIEWVIT Division of Diagnostic Radiology, Department of Radiology, Siriraj Hospital
  • Pipat CHIEWVIT Division of Diagnostic Radiology, Department of Radiology, Siriraj Hospital

Abstract

A 35 year-old male patient presented with abdominal pain. Ultrasound (u/s) and computed tomography (CT) suspected to be caused by distal CBD stone obstruction and additional incidental findings ofa large retroperitoneal hypodense nodule at para aortic region, appearing to engulf the left renal vein, suggestive of lymphadenopathy. A diagnosis of paraaortic lymphadenopathy was made based on U/S and three studies of CT findings to be hypodense, non-enhancing lesion of the mass which was atypical for hemangioma. However; upon laparoscope resection, histopathologically examination revealed retroperitoneal soft tissue mass to be a venous hemangioma. Retroperitoneal venous hemangioma is a very rare condition, which accurate preoperative diagnosis is very difficult.

CBD = Common Bile Duct

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References

Igarashi J, Hanazaki K. Retroperitoneal venous hemangioma. AJG 1998; 93: 2292-3.

Vasudevan S, Cumbie T, Dishop M, et al. Retroperitoneal hemangioma of infancy. J. Ped Surg 2006; 41 : E 41-4.

Martin R, Zarranz J, Fernandez M, et al. Laparoscopic resection of retroperitoneal venous hemangioma. J Urol. 2004; 171: 336.

Farbes T. Retroperitoneal hemorrhage secondary to a ruptured cavernous hemangioma. Can J. Surg 2005; 48: 78.

Murphy M, Fairbain K, Parman L, et al. Musculoskeletal angiomatous lesions, radiologic-pathologic correlation. Radiographics 1995; 15: 4.

Wannanukul S, Voramethkul W, Nuchprayoon I, etal. Diffuse Neonatal hemangiomatosis. J Med Assoc thai 2006; 89: 1297-303.

Ronan S, Sdomon L. Benign neonatal eruptive hemangiomatosis in identical twins. Pediatric Dermatology 1984; 1: 318-21.

Nishino M, Hayakawa K, Minami M, et al. Primary retroperitoneal neoplasms : CT and MR Imaging findings with anatomic and pathologic diagnostic clues. Radiographics 2003; 23: 45-57.

Olsen KI, Stacy GS, Montag A. Soft tissue cavenous hemangioma. Radiographics 2004; 24: 49-54.

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Published

2023-04-23

How to Cite

1.
SINTHUNYATHUM S, CHIEWVIT P, CHIEWVIT P. CASE REPORT: PRIMARY RETROPERITONEAL VENOUS HEMANGIOMA MIMICKING RETROPERITONEAL LYMPHADENOPATHY IN PHRACHOMKLAO HOSPITAL. ASEAN J Radiol [Internet]. 2023 Apr. 23 [cited 2024 May 15];13(3):147-52. Available from: https://www.asean-journal-radiology.org/index.php/ajr/article/view/797

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