scholarly journals A rare case of adrenal cavernous hemangioma

2020 ◽  
Vol 73 (3-4) ◽  
pp. 101-103
Author(s):  
Ivo Vujicik
Keyword(s):  
Computed Tomography ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Benign Tumors ◽  
Sinusoidal Dilatation ◽  
Radiologic Findings ◽  
Iodinated Contrast ◽  
Microscopic Evaluation ◽  
Cavernous Hemangiomas ◽  
Postoperative Diagnosis

Introduction. Adrenal cavernous hemangiomas are extremely rare non-functioning benign tumors. The majority of adrenal cavernous hemangiomas are diagnosed incidentally after surgery by histopathological examination. Case Report. We report a clinical case of a 57-year-old woman with adrenal cavernous hemangioma. On admission, the patient?s adrenal-related hormones were in the reference range, so adrenal endocrine dysfunction was ruled out. The computed tomography scan revealed a well-circumscribed, round, heterogeneous right adrenal mass (32.3 x 55.4 mm). Iodinated contrast enhanced abdominal computed tomography showed a slight inhomogeneity. In this case, preoperative radiologic findings and absence of signs of local invasion indicated laparoscopic adrenalectomy. The patient underwent right transperitoneal adrenalectomy. Microscopic evaluation showed a sinusoidal dilatation and fibrotic septa, so postoperative diagnosis of adrenal cavernous hemangioma was made. Conclusion. In summary, we reported a case of an incidentally discovered non-functioning adrenal cavernous hemangioma treated by laparoscopic surgery. The diagnosis of adrenal cavernous hemangioma may be challenging, and it is commonly made after surgery, since it is frequently confirmed by histopathological examination.

scholarly journals Cavernous Hemangioma of the Gallbladder Masquerading as a Carcinoma

2019 ◽  
Vol 13 (1) ◽  
pp. 219-224
Author(s):  
Naotake Funamizu ◽  
Yukio Nakabayashi
Keyword(s):  
Computed Tomography ◽  
Cavernous Hemangioma ◽  
Benign Tumors ◽  
Low Density ◽  
Vascular Endothelial ◽  
Postoperative Course ◽  
Follow Up Study ◽  
Abdominal Computed Tomography ◽  
Extended Cholecystectomy

Cavernous hemangioma arising from the gallbladder is extremely rare. Here, we report a cavernous hemangioma of the gallbladder masquerading as a carcinoma. A 75-year-old man was referred to our institution for a follow-up study after gastrectomy. Abdominal computed tomography revealed that the gallbladder was filled with a low-density mass with calcification of the wall. The patient underwent extended cholecystectomy. Histologically, the tumor consisted of vascular endothelial cellular elements and hematomas. The postoperative course was uneventful without complications. Presently, only 7 cases of cavernous hemangioma of the gallbladder have been previously reported. This case serves as an important reminder to consider benign tumors including cavernous hemangioma when investigating all possible causes of a gallbladder tumor.

scholarly journals Intrasellar Cavernous Hemangioma, a Rare Condition Causing Both Radiological And Clinical Difficulties- a Case Report

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A589-A590
Author(s):  
Andrzej Jerzy Nowak ◽  
Anna Grochowska ◽  
Dariusz Adamek ◽  
Magdalena Godlewska ◽  
Marcin Motyka ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Cavernous Sinus ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Sella Turcica ◽  
Tumor Board ◽  
Oculomotor Nerve Palsy ◽  
Tumor Mass ◽  
Cavernous Hemangiomas

Abstract Introduction: Intrasellar cavernous hemangiomas constitute an extremely rare group of findings in endocrinological practice. Diagnosis remains challenging due to non-characteristic symptoms and neuroradiological features which may resemble those of pituitary adenomas. Presentation of the Case: We present a case of female born in 1941, diagnosed with a hemangioma cavernosum located in the Sella turcica. In 2004 our patient presented with uncharacteristic symptoms: syncopes and chronic headaches. Computed tomography (CT) of the head revealed an intrasellar hyperdense tumor mass with radiological features suggesting a pituitary adenoma. In 2005 the patient underwent transcranial resection of the sellar mass, with subsequent oculomotor nerve palsy. In histopathological examination, diagnosis of cavernous hemangioma was determined. Between 2005 and 2020 patient was asymptomatic, with multiple follow-up head MRIs scans, showing gradual progression in size of the intrasellar tumor. The patient was consulted by a neurosurgeon, with no direct indications for surgical approach found. Furthermore, due to suprasellar expansion into the direct proximity of the right optic nerve, the patient was disqualified for Gamma-Knife radiotherapy. The last MRI of the hypothalamic-pituitary area in 2020 revealed a polycyclic, homogeneous, 33x31x29 mm mass, filling in the space of the Sella turcica, with strong enhancement after contrast administration. Invasion of the surrounding structures, including the clivus, right cavernous sinus and right trigeminal cave were described. Bilaterally, internal carotid arteries and right optic nerve adhered directly to the lesion. Pituitary gland was compressed by the tumor mass. In July 2020, in order to verify the ambiguous radiological and clinical characteristics of the lesion including tumor regrowth and its invasiveness, a transsphenoidal partial resection was performed. Tissue samples were collected for the histopathological examination, which confirmed the initial diagnosis of cavernous hemangioma originating from the cavernous sinus. During a multidisciplinary tumor board, having taken into consideration relatively stable clinical condition and high risk possible surgical complications, the patient was currently disqualified from neurosurgical re-operation nor radiotherapy. Surprisingly, during whole follow up, patients pituitary function remained unimpaired. A watchful waiting approach, with radiological and endocrinological follow up were scheduled. Conclusion: To date, only few cases of intrasellar cavernous hemangiomas have been reported. Intrasellar hemangiomas may originate from the vascular tissue of the cavernous sinus. Surgical removal remains the recommended treatment modality, but radiosurgery could be a therapeutic option as well. Stable patients with no clinical symptoms may remain in observation.

scholarly journals Thoracic extraosseous, epidural, cavernous hemangioma: Case report and review of literature

2013 ◽  
Vol 04 (03) ◽  
pp. 309-312 ◽  
Author(s):  
Manish S Sharma ◽  
Sachin A Borkar ◽  
Amandeep Kumar ◽  
M. C. Sharma ◽  
Bhawani S Sharma ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Spastic Paraparesis ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Bone Invasion ◽  
Cavernous Hemangiomas ◽  
One Year ◽  
Compressive Myelopathy

ABSTRACTA 40-year-old male presented with mid-thoracic backache and progressive, ascending, spastic, paraparesis for one year. Magnetic resonance imaging demonstrated an extraosseous, extradural mass, without any bone invasion at the T2-T4 vertebral levels, located dorsal to the thecal sac. The spinal cord was compressed ventrally. The lesion was totally excised after a T2-T4 laminectomy. Histopathological examination revealed a cavernous hemangioma. The authors reported this case and reviewed the literature, to explain why extraosseous, extradural, cavernous hemangiomas should be considered in the differential diagnosis of extradural thoracic compressive myelopathy.

scholarly journals Endoscopic Resection of a Pedunculated Cavernous Hemangioma of the Sigmoid Colon: A Case Report

2019 ◽  
Vol 13 (3) ◽  
pp. 418-422
Author(s):  
Naotaka Ogasawara ◽  
Manami Suzuki ◽  
Kazunori Adachi ◽  
Yoshiharu Yamaguchi ◽  
Sayuri Yamamoto ◽  
...  
Keyword(s):  
Sigmoid Colon ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Narrow Band Imaging ◽  
Submucosal Tumor ◽  
Benign Tumors ◽  
Normal Colonic Mucosa ◽  
Negative Resection Margin ◽  
Basal Portion ◽  
Snare Polypectomy

Hemangiomas are common benign tumors that usually occur on the head and neck in children. However, colonic hemangiomas are rare in clinical practice. Approximately 80% of colonic hemangiomas are of the cavernous type, and morphologically, ≥80% of colonic hemangiomas are sessile and semi-pedunculated. Notably, pedunculated colonic hemangiomas are rare. A 69-year-old woman presented with hematochezia and underwent colonoscopy, which revealed a soft pedunculated submucosal tumor (SMT) measuring 1.5 cm in diameter, in the sigmoid colon. The surface of the SMT resembled the surrounding normal colonic mucosa with regard to color and appearance, with multiple red patches. Narrow-band imaging revealed a few telangiectasias on the surface of the SMT. The lesion could not be definitively diagnosed based on endoscopic findings. Therefore, for more accurate diagnosis, the SMT was removed by snare polypectomy with electrocautery after clipping the basal portion of the tumor stalk for prophylactic hemostasis. Histopathological examination of the specimen revealed a cavernous hemangioma with a negative resection margin. We report a case of a pedunculated cavernous hemangioma of the sigmoid colon removed by snare polypectomy with electrocautery after clipping the basal portion of the tumor stalk for prophylactic hemostasis.

scholarly journals Cushing’s Syndrome Associated With an Adrenal Cavernous Hemangioma

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A126-A126
Author(s):  
Jubran Afzal Khan Rind ◽  
Zeb Ijaz Saeed
Keyword(s):  
Abdominal Pain ◽  
Cushing’S Syndrome ◽  
Cavernous Hemangioma ◽  
Adrenal Mass ◽  
Open Cholecystectomy ◽  
Cushing's Syndrome ◽  
Benign Tumors ◽  
Free Cortisol ◽  
Cavernous Hemangiomas ◽  
The Right

Abstract Introduction: Adrenal cavernous hemangiomas are rare benign tumors that arise from vascular endothelium and are often discovered incidentally on abdominal imaging. The majority are nonfunctioning; however, we present a case of adrenal Cushing’s syndrome in a patient with a cavernous adrenal hemangioma. Case: A 72-year-old woman was referred for an incidental right adrenal mass. On questioning, she endorsed abdominal pain, sixty-pound unintentional weight gain over five years, truncal obesity, and easy bruising. Past medical history was relevant for hypertension. Her surgical history was extremely complicated, having had a perforated peptic ulcer, open cholecystectomy complicated by injury to the right ureter, incisional hernia repair, appendectomy, and hysterectomy with bilateral salpingo-oophorectomy. She was first noted to have a right adrenal mass on a CT done eight years ago, measuring 3.8 x 3.2 cm. A repeat CT abdomen and pelvis now showed this mass to be 6.5 x 6.3 x 8.1 cm with unenhanced Hounsfield units of 29.6. Radiographically, this was a heterogeneous, solid, and cystic appearing mass with peripheral brisk arterial enhancement areas, which appeared to fill in on delayed imaging. The enhancement pattern of the lesion was consistent with an adrenal cavernous hemangioma. An MRI of the abdomen also demonstrated similar peripheral nodular enhancement favoring an adrenal cavernous hemangioma. Functional testing for the adrenal mass was undertaken. Morning cortisol was 23.4 mcg/dl with ACTH low at 5.3 pg/ml, and DHEA-S 3 mcg/dl. She failed to suppress with overnight 1 mg dexamethasone with AM cortisol of 3.6 mcg/dl. Midnight salivary cortisol levels were high at 0.237 mcg/dl and 0.419 mcg/dl while a 24-hour urine free cortisol was normal at 15.2 mcg/d. She tested negative for pheochromocytoma and primary aldosteronism. The patient was deemed a poor surgical candidate due to her history of multiple prior abdominal surgeries and a BMI of 46. Therefore, she underwent an IR angioembolization of the right adrenal mass instead. On follow-up CT, there was no significant change in the size of the lesion; however the degree of rim enhancement was slightly decreased. Post procedurally, her a.m. cortisol remained high-normal at 18.3 mcg/dL.. She is currently enrolled in a study for medical treatment of Cushing’s syndrome. Discussion: Adrenal cavernous hemangiomas usually present incidentally in the 6th-7th decade of life with a female predominance. These lesions are often asymptomatic; however, abdominal pain is the most common presenting symptom. The majority of adrenal cavernous hemangiomas are hormonally quiescent and mineralocorticoid excess and/or subclinical Cushing’s syndrome is exceedingly rare. Our patient is unique in her presentation of adrenal Cushing’s with this lesion and the novel use of angioembolization to decrease the size of this vascular tumor.

scholarly journals The underestimated incidence of an orbital angioleiomyoma is possibly associated with an orbital cavernous hemangioma: illustrative case

2021 ◽  
Vol 1 (21) ◽  
Author(s):  
Seonah Choi ◽  
JaeSang Ko ◽  
Se Hoon Kim ◽  
Eui Hyun Kim
Keyword(s):  
Computed Tomography ◽  
Cavernous Hemangioma ◽  
Single Photon ◽  
Smooth Muscle Actin ◽  
Photon Emission ◽  
Pathological Examination ◽  
Emission Computed Tomography ◽  
Illustrative Case ◽  
Endoscopic Endonasal ◽  
Cavernous Hemangiomas

BACKGROUND Orbital angioleiomyoma is generally considered a rare tumor; approximately 40 cases have been reported. However, after their experience with 6 consecutive cases in their single institution during 3 years, the authors speculate that the incidence of orbital angioleiomyomas is possibly underestimated. OBSERVATIONS A 34-year-old female presented with progressive exophthalmos of 2 years’ duration. Orbital computed tomography and magnetic resonance imaging revealed a well-circumscribed orbital tumor with partial and heterogeneous gadolinium enhancement. Technetium-99m red blood cell single-photon emission computed tomography showed positive perfusion in the late blood-pool phase, which was exactly consistent with the finding of a cavernous hemangioma. Under the impression of a cavernous hemangioma, the authors accessed the mass with an endoscopic endonasal approach and completely removed it without neurological deficit. Pathological examination revealed that the final diagnosis was an angioleiomyoma with positive immunostaining results for smooth muscle actin (SMA). LESSONS The incidence of orbital angioleiomyomas may not be very low, as these lesions have possibly been misdiagnosed as orbital cavernous hemangiomas because of their histological similarity. Preoperative presumption and differentiation from cavernous hemangiomas are very challenging because of the rarity of orbital angioleiomyoma and similar radiological findings. SMA immunostaining may be critical to differentiate orbital angioleiomyomas from cavernous hemangiomas.

scholarly journals PAROTID HEMANGIOMA: CASE REPORT

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Rohit Phadnis K ◽  
Chinamilli Jaahnavi
Keyword(s):  
Case Report ◽  
Medical Treatment ◽  
Cavernous Hemangioma ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Review Of Literature ◽  
Cavernous Hemangiomas ◽  
Feeding Vessels ◽  
Capillary Type

Backround: parotid hemangiomas are rare vascular benign tumors 0.4-0.6%.  Though capillary type of hemangiomas have been shown a good response to medical therary, cavernous hemangiomas usually require surgical excision. Case report and discussion: 11 years girl with failure of medical treatment for parotid cavernous hemangioma was evaluated and operated with superficial conservative parotidectomy at aimsr, Hyderabad. Review of literature: reports mostly tab propranolol to be treatment for the condition; it has guarded effect over cavernous hemangioma. Conclusion: cavernous parotid hemangioma though rare, treatment mostly remains parotidectomy after proper evaluation for its feeding vessels.

scholarly journals Large left atrial cavernous hemangioma, a case report

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Jian Xu ◽  
Hulin Piao ◽  
Duo Wang ◽  
Yong Wang ◽  
Bo Li ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Cavernous Hemangioma ◽  
Left Atrial ◽  
Histopathological Examination ◽  
Low Frequency ◽  
Surgical Excision ◽  
Posterior Wall ◽  
Uneventful Recovery ◽  
Complete Surgical Excision

Abstract Background Cardiac cavernous hemangiomas are extremely rare and usually difficult to be diagnosed for being asymptomatic. Case presentation An asymptomatic 56-year-old woman was hospitalized due to a heart mass found by chest computed tomography (CT) during her annual physical examination. Coronary computed tomography angiography (CTA) disclosed a tumorous lesion, located in the left atrial roof and extended to the posterior wall of the aortic root and surrounding the left main coronary artery. However, there was no communicating branches between the hemangioma and coronary artery and no coronary artery stenosis. The tumor was excised with low-frequency electrocautery under cardiopulmonary bypass. The histopathological examination indicated the mass a cavernous hemangioma. The patient was discharged with an uneventful recovery. Conclusions Here we presented a rare case of successfully excision of a cavernous hemangioma involving the left atrial roof and left coronary artery. We advocate adequate exposure and complete surgical excision with low-frequency electrocautery to avoid remnants and excessive resection.

scholarly journals A Hemangioma of the Zygomatic Bone: Management Ensuring Good Reconstructive and Aesthetic Results

2017 ◽  
Vol 10 (4) ◽  
pp. 332-336 ◽  
Author(s):  
Gabriele Bocchialini ◽  
Andrea Castellani ◽  
Anna Bozzola ◽  
Alessandro Rossi
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Bone Tumors ◽  
Clinical Characteristics ◽  
Histopathological Examination ◽  
Clinical Manifestations ◽  
Benign Tumors ◽  
Aesthetic Results ◽  
Stereolithographic Model ◽  
The Right

Hemangiomas are benign tumors representing only 0.7 to 1% of all bone tumors; those that arise in the zygomatic region are rarely described in the literature. Here, we describe the case of a 55-year-old woman with a mass in the right orbitozygomatic region. She was diagnosed on the basis of preoperative clinical manifestations, data from an earlier histopathological examination, and computed tomography (CT). The CT scan revealed a lesion in the right zygomatic region at the level of the cancellous component. This caused thinning and remodeling of the deformed cortex both medially and laterally. Surgery was performed. We describe the clinical characteristics of our case with an emphasis on surgical management of the lesion using a titanium grid prepared by reference to a stereolithographic model.

Nonionic Low-Osmolar Monomeric Iodinated Contrast Material: Some Aspects of use for Computed Tomography in Children

2017 ◽  
pp. 118-129
Author(s):  
I. A. Kondrashov ◽  
V. Mandal
Keyword(s):  
Computed Tomography ◽  
Contrast Agents ◽  
Adverse Reactions ◽  
Contrast Material ◽  
Iodine Content ◽  
Diagnostic Procedures ◽  
Diagnostic Efficacy ◽  
Minimum Risk ◽  
Electrical Neutrality ◽  
Iodinated Contrast

Iodine containing contrast media are used much frequently now-a-days for computed tomography examinations in children. The group of non-ionic monomers occupies a special place among modern contrast agents. Low osmolarity and viscosity, electrical neutrality and the highest iodine content of these contrast materials provide the best diagnostic efficacy with minimum risk of adverse reactions. However, characteristic anatomic and physiological aspects of a growing child’s body require additional attention and care during diagnostic procedures with use of such contrast agents. This article presents concise literature review of recent years highlighting practical aspects of nonionic lowosmolar iodinated contrast material use for computed tomography assisted diagnostic examinations in child population.

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