Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 9096-9103
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.9096
Successful resection of a huge retroperitoneal venous hemangioma: A case report
Yan Qin, Peng Qiao, Xing Guan, Song Zeng, Xiao-Peng Hu, Biao Wang
Yan Qin, Peng Qiao, Xing Guan, Song Zeng, Xiao-Peng Hu, Biao Wang, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Qin Y and Qiao P participated in the management of this case, collected the material of this case, and drafted the manuscript; Guan X and Zeng S contributed to the conception and design of the article; Hu XP and Wang B participated in the management of this case and were in charge of revising the manuscript; all authors read and approved the final manuscript.
Informed consent statement: A written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors have nothing to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Biao Wang, MD, Chief Physician, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 South Gongti Road, Chaoyang District, Beijing 100020, China. wangbiao6176@sina.com
Received: April 3, 2022
Peer-review started: April 3, 2022
First decision: May 30, 2022
Revised: June 7, 2022
Accepted: July 29, 2022
Article in press: July 29, 2022
Published online: September 6, 2022
Processing time: 144 Days and 23.5 Hours
Abstract
BACKGROUND

Venous hemangioma is a benign and non-invasive type of tumor, which is rarely identified due to the absence of clinical manifestations. A retroperitoneal benign tumor is comparatively rare, and hemangioma is exceptional. Because of the different types and locations of hemangioma, presentations are varied; thus, establishing an accurate diagnosis before surgery is challenging.

CASE SUMMARY

A 45-year-old female patient visited our hospital with the complaint of a retroperitoneal mass without symptoms discovered during a medical examination. An abdominal and pelvic computed tomography (CT) revealed a giant hypodense mass that extended from the lower edge of the liver down to the right groin and showed no marked enhancement in the arterial phase of the enhanced CT. On magnetic resonance imaging, the retroperitoneal mass was hyperintense on the T2-weighted image and hypointense on the T1-weighted image. The mass was completely resected and confirmed as a venous hemangioma by pathology.

CONCLUSION

Venous hemangioma is rare in adults, and an accurate diagnosis before surgery is challenging. Surgery is the curative treatment for venous hemangioma, and the definitive diagnosis relies on pathology.

Keywords: Retroperitoneal hemangioma; Venous hemangioma; Diagnosis; Case report

Core Tip: Venous hemangioma is a benign disease which is rarely reported as it lacks clinical manifestations. However, many cases have presented with abdominal symptoms. An accurate diagnosis before surgery is challenging due to non-specific manifestations and low incidence. Surgery is the first-line treatment for venous hemangioma, and the definitive diagnosis depends on pathology.