World Journal of Emergency Surgery

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Torsion of a giant pedunculated liver hemangioma mimicking acute appendicitis: a case report

Feyzullah Ersoz1*, Ozhan Ozcan1, Ahmet B Toros2, Serdar Culcu1, Hasan Bektas1, Serkan Sari1, Esra Pasaoglu3 and Soykan Arikan1

Author Affiliations

1 Istanbul Education and Research Hospital, Department of General Surgery, Istanbul, Turkey

2 Istanbul Education and Research Hospital, Department of Gastroenterology, Istanbul, Turkey

3 Istanbul Education and Research Hospital, Department of Pathology, Istanbul, Turkey

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World Journal of Emergency Surgery 2010, 5:2 doi:10.1186/1749-7922-5-2

Published: 18 January 2010

Abstract

Hemangiomas are the most common benign neoplasms affecting the liver. They occur at all ages. Most cases are asymptomatic and do not require any treatment. Rarely, hemangiomas can be pedunculated. İf they undergo torsion and infarction, they become symptomatic. Herein; we report the case of a 31 year old male presenting with features of acute appendicitis: continuous right iliac fossa pain, rebound, guarding tenderness at McBurney' s point, nausea, anorexia, shifted white blood cell count and a Mantrels score of 6. At laparotomy a normal appendix was observed and a torsioned pedinculated liver hemangioma turned out to be the cause.