Background. Adrenal cavernous hemangiomas (AH) are benign nonfunctional vascular tumors rarely discovered as incidental findings on imaging studies or autopsies. This study presents a single case report of AH with another rare finding of the Liesegang ring. Also, we reviewed 73 case reports of cavernous adrenal hemangioma to provide an overview of AH’s clinical characteristics. Case Report. A nonfunctional AH was incidentally discovered in a 59-year-old morbidly obese female patient with a 10-year history of hypertension and thyroidectomy. An abdominal computed tomography (CT) scan showed a left suprarenal mass of ∼16 cm in diameter. While the patient had no clinical manifestations from the hemangioma, all laboratory tests were within the normal values with no indication of a functional adrenal tumor. The mass was removed by open left adrenalectomy. The microscopic histological examination revealed a laminated structure with wide blood-filled spaces with a central core of necrotic and hemorrhagic changes, characteristic of a cavernous AH with the presence of a rare Liesegang ring. Conclusion. Although rare, AH should be considered as a differential diagnosis for adrenal masses. This is the first reported case of a cavernous AH with rare microscopic findings of the Liesegang ring.

Intraparenchymal schwannomas are very rare tumors. We present a unique case of intracerebral schwannoma. We report a deep parietal peiventricular intraparenchymal schwannoma in a young adult patient with a history of slowly progressive hemiparesis. Magnetic resonance imaging scan revealed a round-shaped mass lesion in the right parietal periventricular area exhibiting low signal intensity in T1-weighted images and high signal intensity in T2-weighted images, and showed extensive perilesional edema. The lesion showed ring enhancement post gadolinium. It is important to recognize and distinguish a schwannoma from other more common brain tumors as the outcome is good and recurrence is rare.

Leiomyomatosis peritonealis disseminata (LPD) is a relatively rare clinical entity which is characterized by the presence of multiple nonneoplastic nodules, mainly due to smooth muscle proliferation over the surface of the abdominopelvic peritoneal cavity. It is usually an incidental finding during procedures such as laparoscopy, cesarean section, laparotomy, and postpartum tubal ligation, and it occurs mainly in women, primarily during the reproductive period. When LPD occurs during pregnancy or during the use of birth control pills, it may regress spontaneously after delivery or discontinuation of the use of the pills. Conservative care is indicated, particularly if fertility is desired. In this study, we report a case of LPD in a pregnant Egyptian woman. To our knowledge, this is the first case reported in an Arab woman. Case ReportA 38-year-old pregnant Egyptian woman of 38 weeks' gestation, gravida 4 para 3, was admitted to the Maternity Hospital, Riyadh Medical Complex, for a cesarean section. The previous history of the patient was unremarkable, except for two previous lower segment cesarean sections for cephalopelvic disproportion, with no intraoperative or postoperative complications. The patient had used oral contraceptive pills for a period of one year three years previously, but there was no other history of use of intrauterine contraceptive device or other hormonal treatment. Physical examination on admission revealed temperature of 37°C, blood pressure of 120/80, and mild lower limb edema. Abdominal examination revealed normal pregnancy at term cephalic 4/5.Within six hours of admission, the patient underwent a cesarean section, and a baby girl was delivered weighing 4.95 kg, with an Apgar score of 9.99. Examination of the abdomen during surgery revealed multiple (about 20-25) small fleshy nodules varying in diameter from 0.1 to 0.5 cm, and scattered over the uterus, fallopian tubes, omentum, and anterior abdominal wall. No nodules were seen over the bowel surface or the liver. A left ovarian multilocular cystic mass measuring 10x6x6 cm was observed. No ascitis was present and the uterus appeared free of any intramural tumor. With a possible diagnosis of disseminated carcinomatosis, examination of a frozen section specimen from one of the nodules was made, which revealed the mass to be a benign leiomyoma. Bilateral salpingooophorectomy and biopsy of another peritoneal nodule was carried out. The postoperative recovery was uneventful and the patient was discharged on the eighth postoperative day. Follow-up ultrasound examination three months later revealed no more nodular masses in the abdominal cavity. Pathologic FindingsThe left ovary was replaced by a well-defined cystic mass measuring 10x6x6 cm. The right ovary was unremarkable. A cross-section view of the left ovarian mass showed a cystic cavity filled with thick granular yellow material with some hair structures. The two biopsies from the peritoneal nodules measured 0.7x0.5x0.5 cm in diameter each. They were smooth and glistening, firm, and pa...