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Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia.

Bae SJ, Hwang G, Kang HS, Song HJ, Chang WY, Maeng YH, Kang KS - Clin Endosc (2015)

Bottom Line: Laboratory findings indicated no bleeding tendency.Gastroduodenoscopy and colonoscopy results were negative.A purplish stalked mass was found in the jejunum, and the mass was excised successfully.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.

ABSTRACT
Cavernous hemangiomas of the gastrointestinal tract are extremely rare. In particular, the diagnosis of small bowel hemangiomas is very difficult in children. A 13-year-old boy presented at the outpatient clinic with dizziness and fatigue. The patient was previously diagnosed with iron-deficiency anemia at 3 years of age and had been treated with iron supplements continuously and pure red cell transfusion intermittently. Laboratory tests indicated that the patient currently had iron-deficiency anemia. There was no evidence of gross bleeding, such as hematemesis or bloody stool. Laboratory findings indicated no bleeding tendency. Gastroduodenoscopy and colonoscopy results were negative. To obtain a definitive diagnosis, the patient underwent capsule endoscopy. A purplish stalked mass was found in the jejunum, and the mass was excised successfully. We report of a 13-year-old boy who presented with severe and recurrent iron-deficiency anemia caused by a cavernous hemangioma in the small bowel without symptoms of gastrointestinal bleeding.

No MeSH data available.


Related in: MedlinePlus

Gross findings of the resected small intestine showed (A) an irregular ulceration with surface hemorrhage, and (B) spongy-like blood clot-filled spaces in the whole layer of the intestinal wall.
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Figure 3: Gross findings of the resected small intestine showed (A) an irregular ulceration with surface hemorrhage, and (B) spongy-like blood clot-filled spaces in the whole layer of the intestinal wall.

Mentions: At that point, obscure bleeding resulting in refractory iron-deficiency anemia could not be ruled out. Excision of the mass, about 140 cm below the Treitz ligament, was performed successfully (Fig. 2). Macroscopically, the surgical specimen was a 4.2×5.2-cm hemangioma involving the entire layer of the intestinal wall, and it consisted of spongy-like spaces filled with blood clots (Fig. 3). Microscopically, the tumor consisted of irregular dilated, blood-filled vessels lined by flattened endothelium (Fig. 4). Histology indicated that the tumor was a cavernous hemangioma.


Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia.

Bae SJ, Hwang G, Kang HS, Song HJ, Chang WY, Maeng YH, Kang KS - Clin Endosc (2015)

Gross findings of the resected small intestine showed (A) an irregular ulceration with surface hemorrhage, and (B) spongy-like blood clot-filled spaces in the whole layer of the intestinal wall.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522429&req=5

Figure 3: Gross findings of the resected small intestine showed (A) an irregular ulceration with surface hemorrhage, and (B) spongy-like blood clot-filled spaces in the whole layer of the intestinal wall.
Mentions: At that point, obscure bleeding resulting in refractory iron-deficiency anemia could not be ruled out. Excision of the mass, about 140 cm below the Treitz ligament, was performed successfully (Fig. 2). Macroscopically, the surgical specimen was a 4.2×5.2-cm hemangioma involving the entire layer of the intestinal wall, and it consisted of spongy-like spaces filled with blood clots (Fig. 3). Microscopically, the tumor consisted of irregular dilated, blood-filled vessels lined by flattened endothelium (Fig. 4). Histology indicated that the tumor was a cavernous hemangioma.

Bottom Line: Laboratory findings indicated no bleeding tendency.Gastroduodenoscopy and colonoscopy results were negative.A purplish stalked mass was found in the jejunum, and the mass was excised successfully.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.

ABSTRACT
Cavernous hemangiomas of the gastrointestinal tract are extremely rare. In particular, the diagnosis of small bowel hemangiomas is very difficult in children. A 13-year-old boy presented at the outpatient clinic with dizziness and fatigue. The patient was previously diagnosed with iron-deficiency anemia at 3 years of age and had been treated with iron supplements continuously and pure red cell transfusion intermittently. Laboratory tests indicated that the patient currently had iron-deficiency anemia. There was no evidence of gross bleeding, such as hematemesis or bloody stool. Laboratory findings indicated no bleeding tendency. Gastroduodenoscopy and colonoscopy results were negative. To obtain a definitive diagnosis, the patient underwent capsule endoscopy. A purplish stalked mass was found in the jejunum, and the mass was excised successfully. We report of a 13-year-old boy who presented with severe and recurrent iron-deficiency anemia caused by a cavernous hemangioma in the small bowel without symptoms of gastrointestinal bleeding.

No MeSH data available.


Related in: MedlinePlus