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PICTURES IN CLINICAL MEDICINE
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Mesenteric Cavernous Hemangioma with Urological Symptoms Hirohito Ishigaki 1, Akira Nakae 2, Masahiko Nakai 3 and Kazumasa Ogasawara 1 Key words: mesenteric cavernous hemangioma, urological symptoms, surgical resection (Intern Med 54: 437-438, 2015) (DOI: 10.2169/internalmedicine.54.3654)
Picture 2.
Picture 1.
the first case of mesenteric cavernous hemangioma with urological symptoms (1, 2). A 66-year-old man with severe pain radiating toward his penis during urination visited our hospital. Mild tenderness was localized in the upper area of the pubis on palpation. Although the results of a urinalysis and laboratory test were normal, computed tomography showed a large mass next to the ileum pressing downward on the urinary bladder that was not enhanced by contrast material (Picture 1). The large tumor was removed from the mesentery of the ileum via explorative laparotomy performed for diagnosis (Picture 2), and the results of the histopathological examination were consistent with the features of cavernous hemangioma (Picture 3). The patient’s symptoms disappeared after surgery, with no episodes of tumor recurrence to date.
Picture 3.
The authors state that they have no Conflict of Interest (COI).
Mesenteric cavernous hemangioma is a very rare disease. Most patients with mesenteric cavernous hemangioma present with gastrointestinal symptoms, such as bleeding and obstruction (1). In this report, to our knowledg, we describe
References
１
1. Camilleri M, Chadwick V.S., Hodgson H.J. Vascular anomalies of
Division of Pathology and Disease Regulation, Shiga University of Medical Science, Japan, ２Department of Surgery, Kyoto Yahata Hospital, Japan and ３Department of Internal Medicine, Kyoto Yahata Hospital, Japan Received for publication July 10, 2014; Accepted for publication July 13, 2014 Correspondence to Dr. Hirohito Ishigaki, [email protected]
437
Intern Med 54: 437-438, 2015
DOI: 10.2169/internalmedicine.54.3654
the gastrointestinal tract. Hepatogastroenterology 31: 149-153, 1984. 2. Yang GZ, Li J, Jin H. Giant mesenteric hemangioma of carvern-
ous and venous mixed type: a rare case report. BMC Surg 13: 50, 2013.
Ⓒ 2015 The Japanese Society of Internal Medicine http://www.naika.or.jp/imonline/index.html
438
PICTURES IN CLINICAL MEDICINE
□
Mesenteric Cavernous Hemangioma with Urological Symptoms Hirohito Ishigaki 1, Akira Nakae 2, Masahiko Nakai 3 and Kazumasa Ogasawara 1 Key words: mesenteric cavernous hemangioma, urological symptoms, surgical resection (Intern Med 54: 437-438, 2015) (DOI: 10.2169/internalmedicine.54.3654)
Picture 2.
Picture 1.
the first case of mesenteric cavernous hemangioma with urological symptoms (1, 2). A 66-year-old man with severe pain radiating toward his penis during urination visited our hospital. Mild tenderness was localized in the upper area of the pubis on palpation. Although the results of a urinalysis and laboratory test were normal, computed tomography showed a large mass next to the ileum pressing downward on the urinary bladder that was not enhanced by contrast material (Picture 1). The large tumor was removed from the mesentery of the ileum via explorative laparotomy performed for diagnosis (Picture 2), and the results of the histopathological examination were consistent with the features of cavernous hemangioma (Picture 3). The patient’s symptoms disappeared after surgery, with no episodes of tumor recurrence to date.
Picture 3.
The authors state that they have no Conflict of Interest (COI).
Mesenteric cavernous hemangioma is a very rare disease. Most patients with mesenteric cavernous hemangioma present with gastrointestinal symptoms, such as bleeding and obstruction (1). In this report, to our knowledg, we describe
References
１
1. Camilleri M, Chadwick V.S., Hodgson H.J. Vascular anomalies of
Division of Pathology and Disease Regulation, Shiga University of Medical Science, Japan, ２Department of Surgery, Kyoto Yahata Hospital, Japan and ３Department of Internal Medicine, Kyoto Yahata Hospital, Japan Received for publication July 10, 2014; Accepted for publication July 13, 2014 Correspondence to Dr. Hirohito Ishigaki, [email protected]
437
Intern Med 54: 437-438, 2015
DOI: 10.2169/internalmedicine.54.3654
the gastrointestinal tract. Hepatogastroenterology 31: 149-153, 1984. 2. Yang GZ, Li J, Jin H. Giant mesenteric hemangioma of carvern-
ous and venous mixed type: a rare case report. BMC Surg 13: 50, 2013.
Ⓒ 2015 The Japanese Society of Internal Medicine http://www.naika.or.jp/imonline/index.html
438
