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Challenges in the management of a rare case of extensive retroperitoneal haemangioma in a pregnant woman

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Singapore Med J 2014; 55(11): e177-e179; http://dx.doi.org/10.11622/smedj.2014165
Challenges in the management of a rare case of extensive retroperitoneal haemangioma in a pregnant woman

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Tan SQ, Lim SK, Tan YR, Tan HK
Correspondence: Dr Shu-Qi Tan, rainz_bow@yahoo.com.sg

ABSTRACT
Haemangioma of the retroperitoneal space is a rare benign capillary malformation, which can grow significantly in pregnancy due to the multiple associated cardiovascular changes. We herein describe the case of a pregnant woman with an extensive right retroperitoneal haemangioma extending from the level of the renal hilum, across the lateral anterior abdominal wall and into the thigh. We also highlight the challenges faced in the management of the patient’s delivery process. To the best of our knowledge, this is the first case of such nature and severity described in the English literature.

Keywords: capillary malformation, delivery, extensive, pregnancy, retroperitoneal haemangioma
Singapore Med J 2014; 55(11): e177-e179; http://dx.doi.org/10.11622/smedj.2014165

http://smj.org.sg/sites/default/files/5511/5511cr3.pdf

REFERENCES

1. Metry DW. Epidemiology, pathogenesis, clinical features, and complications of infantile haemangioma. In: UpToDate [online]. Available at: http://www.uptodate.com/contents/epidemiology-pathogenesis-clinical-feat.... Accessed March 1, 2012.
 
2. Kumar P, Clark ML. Clinical Medicine. 5th ed. United Kingdom: Saunders, 2002: 1371?2.
 
3. Powis SJA, Rushton DI. A case of retroperitoneal haemangioma. Br J Surg 1972; 59:74-6.
http://dx.doi.org/10.1002/bjs.1800590121
 
4. Ogura Y, Watanabe K, Hosogane N, et al. Severe progressive scoliosis due to subcutaneous cavernous haemangioma: A case report. Scoliosis 2011; 6:3.
http://dx.doi.org/10.1186/1748-7161-6-3
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