Treatment of atypically-localized cavernous hemangioma in abdomen with atypical pain

•Hemangiomas are the most common benign lesions of the liver.•They usually remain asymptomatic and it is sufficient to follow up with intermittent imaging methods.•Because of atypical location and pain, minimally invasive surgery was performed in this case.•Cavernous hemangiomas of the liver rarely require treatment.•Surgery can be the option in selected cases.

IntroductionHemangiomas are the most common benign lesions of the liver. They usually remain asymptomatic and it is sufficient to follow up with intermittent imaging methods. The case presented herein featured with localization and atypical symptoms.Presentation of caseA man aged 59 years was admitted with a three-month history of continuous and recently increased abdominal pain, and also early satiety. Computed Tomography (CT) showed a 9 × 6-cm mass that compressed the spleen on the left sub-diaphragmatic area, attached to the inferior part of the diaphragm. The mass was removed laparoscopically and pathology was cavernous hemangioma.DiscussionAlthough surgical treatment of cavernous hemangioma of the liver (CHL) remains in the background, for symptomatic patients who have no clear diagnosis, when complications emerge, surgery can be preferable. Here in minimally invasive surgery was performed in this case suffering from atypical abdominal pain.ConclusionCavernous hemangiomas of the liver rarely require treatment. Surgery is one of the options in selected cases and abdominal pain is one of the indications. In patients complaining from persistent abdominal pain, if intraabdominal atypical-localized mass was seen in examinations, hemangioma should be remembered in differential diagnosis.

Graphical abstractFigure optionsDownload full-size imageDownload high-quality image (230 K)Download as PowerPoint slide