Abstract

Abstract : Cavernous hemangioma of the kidney is an uncommon benign vascular tumor that is rarely diagnosed preoperatively. We report a case of a large renal cavernous hemangioma presenting as a renal cancer.

Highlights

  • Cavernous hemangioma of the kidney is an uncommon benign vascular tumor that is rarely diagnosed preoperatively

  • We report a case of a large renal cavernous hemangioma presenting as a renal cancer and the diagnostic challenge he presented

  • A renal hemangioma may be found in any part of the kidney, the most frequent location is the tip ofthe papilla

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Summary

Introduction

Cavernous hemangioma of the kidney is an uncommon benign vascular tumor that is rarely diagnosed preoperatively. We report a case of a large renal cavernous hemangioma presenting as a renal cancer and the diagnostic challenge he presented. A 69-year-old man presented with a 9-months intermittent macroscopic painless hematuria He had a previous left kidney surgery for renal lithiasis 24 years ago. Renal ultrasound depicted an enlarged left kidney with heterogeneous solid mass. An enhanced computed tomography (CT) revealed a 10 × 9 × 8, 5 cm, low-density, large heterogeneous renal mass. (a) A heterogeneous low density masse in the left kidney. Histopathological findings revealed a large cavernous haemangioma of the left kidney with extensive intratumoral haemorrhage and necrotic part (Figure 2).

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