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



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.

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