Case Report
An atypical case of hepatic cavernous hemangioma
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* Corresponding author: Giuseppe Scalisi scalisi.giuseppe@alice.it
Department of Internal Medicine. Gastroenterology Unit. S. Luigi Hospital. Viale Fleming 24, 95100, Catania, Italy
Cases Journal 2009, 2:181 doi:10.1186/1757-1626-2-181
Published: 2 November 2009Abstract
Introduction
The case of an atypical hepatic angiocavernoma is referred. The lesion, first described as a hypoechogenic area compared to the surrounding parenchyma, with anechogenic shoots inside, suggestive for vascular structures developed one year later into a totally asonic area with frayed margins. This change is very unusual and uncommon for this kind of lesions.
Case presentation
The case of a 74-year old caucasian male, complaining of slight dyspeptic symptoms (post-prandial fullness and bloating) is referred. The routine blood tests were all normal. Abdominal ultrasound showed a large, roughly round-shaped lesion (diameter 14 cm) in the VIII hepatic segment diagnosed as hepatic angiocavernoma, which turned unexpectedly in a cystic like lesion one year later.
Conclusion
The atypical angioma's degeneration could account for one of the causes of the patient's exitus. It could be related to blood seizure by the large hepatic angioma due to the intratumoural haemorrhage.