Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2019; 7(4): 489-493
Published online Feb 26, 2019. doi: 10.12998/wjcc.v7.i4.489
Peritoneal cavernous hemangiomatosis: A case report
Li-Yuan Fu, Hong-Yu Chen, Xiao-Li Diao, Zhen-Jun Wang
Li-Yuan Fu, Hong-Yu Chen, Zhen-Jun Wang, Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Xiao-Li Diao, Department of Pathology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Fu LY and Chen HY collected the patient’s clinical data and wrote the paper; Diao XL provided pathological data; Wang ZJ provided guidance.
Supported by National High-Tech R and D Program of China (863 Program), No. 2015AA033602; and 1351 Personnel Training Program of Beijing Chao-yang Hospital Affiliated to Capital Medical University, No. CYXZ-2017-09.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The guidelines of the CARE Checklist (2016) have been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhen-Jun Wang, MD, Doctor, Professor, Surgeon, Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. drzhenjun@163.com
Telephone: +86-10-85231604
Received: September 21, 2018
Peer-review started: September 24, 2018
First decision: November 1, 2018
Revised: December 25, 2018
Accepted: December 29, 2018
Article in press: December 29, 2018
Published online: February 26, 2019
Abstract
BACKGROUND

Cavernous hemangiomatosis in the liver and spleen has been reported, but it occurs less commonly in the peritoneum. Here we report a case of peritoneal cavernous hemangiomatosis and share some valuable information about this disease.

CASE SUMMARY

A 57-year-old Chinese man had a huge abdominal mass with abdominal distention and a significant reduction of food consumption. An enhanced abdominal and pelvic computed tomography and positron emission tomography–computed tomography revealed multiple cystic masses on the peritoneum, greater omentum, small intestinal mesentery and the surface of the spleen, and a high maximum standardized uptake value of the largest cystic lesion. Exploratory laparotomy was performed, and multiple cystic masses were found on the surface of the peritoneum, greater omentum, mesentery of the small intestine, and surface of the liver and spleen. Dark red bloody cystic fluid was present in the cystic tumor. Pathological examination showed that in the stromal components, the irregular vascular wall was thin. The vessel lumen was interlinked, and the lumen was lined with flat endothelium. According to the intraoperative findings and pathologic results, the patient was diagnosed with peritoneal cavernous hemangiomatosis.

CONCLUSION

The possibility of peritoneal cavernous hemangiomatosis should be considered when multiple cystic masses are found in the abdominal cavity by preoperative examination.

Keywords: Peritoneum, Hemangiomatosis, Cavernous hemangiomatosis, Cystic lesion, Case report

Core tip: Cavernous hemangiomatosis in the liver and spleen has been reported, but it rarely occurs diffusely in the abdominal cavity. In 2011, Ribback et al reported a case of nodular hemangiomatosis of pleura and peritoneum. We report here a case of peritoneal cavernous hemangiomatosis, along with its pathological type and positron emission tomography–computed tomography findings, for the first time. This case may help us to better understand this disease with regard to clinical manifestations and laboratory examination, imaging and pathologic results.