Investig Magn Reson Imaging.  2019 Sep;23(3):264-269. 10.13104/imri.2019.23.3.264.

Cavernous Hemangioma of the Gallbladder: a Case Report

• Park JH
• Lee JS
• Choi GM
• Kim BS
• Kim SH
• Kim J
• Kim DR
• Hyun CL
• Her KH

• KMID: 2459881
• DOI: http://doi.org/10.13104/imri.2019.23.3.264

Abstract

Cavernous hemangioma of the gallbladder is an extremely rare benign tumor. The tumor has only a few cases being reported in literature. However, to the best of our knowledge, no reports focusing on the MRI findings of cavernous hemangioma of the gallbladder have been published. This study reports a case of gallbladder hemangioma with pathologic and radiologic reviews, including MRI findings.

Keyword

Cavernous hemangioma; Gallbladder; Magnetic resonance imaging

MeSH Terms

Gallbladder*
Hemangioma
Hemangioma, Cavernous*
Magnetic Resonance Imaging

Figure

• 

  Fig. 1 A cavernous hemangioma of the gallbladder in a 53-year-old male patient, CT findings. (a, b) The axial (a) and coronal (b) contrast-enhanced CT images show a 1.8 cm, well-defined oval nodular lesion with a suspicious peripheral nodular enhancement (arrows) abutting the body of the gallbladder.

• 

  Fig. 2 A cavernous hemangioma of the gallbladder in a 53-year-old male patient, ultrasonographic findings. (a, b) Transabdominal ultrasonography (a) and endoscopic ultrasonography (b) demonstrated an oval shaped, isoechoic nodular lesion (arrows) with slightly hyperechoic rim. (c) Color Doppler examination did not reveal blood flow in the mass.

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  Fig. 3 A cavernous hemangioma of the gallbladder in a 53-year-old male patient, MRI findings. (a) The axial T2-weighted MR image demonstrates a well-defined nodular lesion with a homogeneous high signal intensity. (b) Diffusion weighted image with a high b value of 500 shows a high signal intensity lesion. (c) The corresponding lesion has slightly low value on apparent diffusion coefficient map. (d–g) The axial pre-contrast T1-weighted MR image (d), arterial phase (e), portal phase (f), and 3-minute delayed phase (g) show a small nodular lesion (arrows) with peripheral nodular and centripetal enhancement.

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  Fig. 4 A cavernous hemangioma of the gallbladder in a 53-year-old male patient. (a, b) In intraoperative finding (a) and gross examination (b), a well-demarcated dark reddish tumor (arrows) is identified on the wall of the gallbladder, originating from the sub-serosal perimuscular connective tissue. The tumor is completely enveloped by connective tissues. (c) Histopathology confirms the lesion as a cavernous hemangioma, which forms cystically dilated blood vessels lined by flat endothelial cells. There is no atypia (Hematoxylin & Eosin stain, × 5).

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