Treatment of atypically-localized cavernous hemangioma in abdomen with atypical pain.
BACKGROUND
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. The case presented herein featured with localization and atypical symptoms.


METHODS
A 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.


CONCLUSIONS
Although 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.


CONCLUSIONS
Cavernous 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.
Department of General Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Mehmet
M
Ilhan
Department of General Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey. Electronic address: gizem.oner@istanbul.edu.tr.
Gizem
G
Oner
Department of General Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Ali Fuat Kaan
AF
Gök
Department of Radiology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Mesut
M
Bulakçı
Department of Pathology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Gülçin
G
Yeğen
Atypical pain; Cavernous hemangioma; Intraabdominal mass