An atypical case of hepatic cavernous hemangioma.
BACKGROUND
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.


METHODS
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.


CONCLUSIONS
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.
Brogna
Alfio
A
Department of Internal Medicine, Gastroenterology Unit, S. Luigi Hospital, Viale Fleming 24, 95100, Catania, Italy. alfio.brogna@tiscali.it
Ferrara
Rosario
R
Bucceri
Anna Maria
AM
Virgilio
Carla
C
Scalisi
Giuseppe
G