©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2019; 7(24): 4307-4313
Published online Dec 26, 2019. doi: 10.12998/wjcc.v7.i24.4307
Published online Dec 26, 2019. doi: 10.12998/wjcc.v7.i24.4307
Three-dimensional image simulation of primary diaphragmatic hemangioma: A case report
Pei-Yi Chu, Kuan-Hsun Lin, Tsai-Wang Huang, Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Hao-Lun Kao, Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Yi-Jen Peng, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Author contributions: Chu PY is the first author of this case report, and she wrote the case report and completed literature review; Lin KH was the assistant surgeon, and he made the 3D image constructor; Kao HL was the attending radiologist; Peng YJ was the attending pathologist; Huang TW was the attending surgeon; Huang TW made final editing and reconstruction of the paper for approval; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Tsai-Wang Huang, MD, PhD, Chief Doctor, Surgeon, Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Section 2, Cheng-Kung Road, Neihu District, Taipei 114, Taiwan. chi-wang@yahoo.com.tw
Telephone: +886-2-87927167 Fax: +886-2-87927403
Received: September 13, 2019
Peer-review started: September 13, 2019
First decision: October 24, 2019
Revised: November 8, 2019
Accepted: November 15, 2019
Article in press: November 15, 2019
Published online: December 26, 2019
Processing time: 102 Days and 18.1 Hours
Peer-review started: September 13, 2019
First decision: October 24, 2019
Revised: November 8, 2019
Accepted: November 15, 2019
Article in press: November 15, 2019
Published online: December 26, 2019
Processing time: 102 Days and 18.1 Hours
Core Tip
Core tip: Diaphragmatic hemangioma is rare, and its diagnosis is challenging. We present the case of a 40-year-old man with incidental abnormal findings in chest imaging studies. Contrast-enhanced computed tomography revealed a poorly-enhanced lesion in the right basal lung, abutting to the diaphragm. Three-dimensional (3D) image simulation revealed a supra-diaphragmatic tumor. Successful tumor resection followed by primary repair of diaphragm was performed via minimally invasive thoracoscopic surgery. The pathological findings confirmed a primary cavernous hemangioma of the diaphragm. In this rare case of diaphragmatic hemangioma, 3D image simulation was helpful for the preoperative evaluation and surgical decision making.