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A long-Segmental Vascular Malformation in the Small Bowel Presenting With Gastrointestinal Bleeding in a Preschool-Aged Child.

Lee YJ, Hwang JY, Cho YH, Kim YW, Kim TU, Shin DH - Iran J Radiol (2016)

Bottom Line: Vascular malformation of the small bowel is a rare disease leading to pediatric GI bleeding.We present a case of long-segmental and circumferential vascular malformation that led to GI bleeding in a pre-school aged child, focusing on the radiologic findings.Although vascular malformation including of the GI tract is rare in children, it should be considered when GI bleeding occurs in pediatric patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University, School of Medicine, Yangsan, Republic of Korea.

ABSTRACT
Gastrointestinal (GI) bleeding in pediatric patients has several causes. Vascular malformation of the small bowel is a rare disease leading to pediatric GI bleeding. To our knowledge, few reports describe ultrasound and computed tomography findings of venous malformations involving the small bowel. We present a case of long-segmental and circumferential vascular malformation that led to GI bleeding in a pre-school aged child, focusing on the radiologic findings. Although vascular malformation including of the GI tract is rare in children, it should be considered when GI bleeding occurs in pediatric patients.

No MeSH data available.


Related in: MedlinePlus

Intraoperative photograph and microscopic examination. A, Intraoperative photograph image showing the dark red and purple berry-like vascular malformation encircling the jejunum; B, Hematoxylin and eosin (H&E), 20 × magnified image showing multiple dilated vascular structures of variable sizes and the thickness of the wall affecting the bowel submucosa, muscularis propria, and subserosa.
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fig26355: Intraoperative photograph and microscopic examination. A, Intraoperative photograph image showing the dark red and purple berry-like vascular malformation encircling the jejunum; B, Hematoxylin and eosin (H&E), 20 × magnified image showing multiple dilated vascular structures of variable sizes and the thickness of the wall affecting the bowel submucosa, muscularis propria, and subserosa.

Mentions: Capsule endoscopy (CE) was performed to evaluate the mucosal lesion, however, the capsule was retained in the stomach for more than 16 hours so that we could not obtain any additional data from CE. Finally, the CE was passed out spontaneously after 30 hours from insertion of it. The patient underwent laparoscopic small bowel resection. Laparoscopic finding showed dark red and purple berrylike lesions covering the small bowel. The mass involved 13 cm of the mid jejunum and the lesion consisted of multiple cystic locules containing old blood (Figure 2A).


A long-Segmental Vascular Malformation in the Small Bowel Presenting With Gastrointestinal Bleeding in a Preschool-Aged Child.

Lee YJ, Hwang JY, Cho YH, Kim YW, Kim TU, Shin DH - Iran J Radiol (2016)

Intraoperative photograph and microscopic examination. A, Intraoperative photograph image showing the dark red and purple berry-like vascular malformation encircling the jejunum; B, Hematoxylin and eosin (H&E), 20 × magnified image showing multiple dilated vascular structures of variable sizes and the thickness of the wall affecting the bowel submucosa, muscularis propria, and subserosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835636&req=5

fig26355: Intraoperative photograph and microscopic examination. A, Intraoperative photograph image showing the dark red and purple berry-like vascular malformation encircling the jejunum; B, Hematoxylin and eosin (H&E), 20 × magnified image showing multiple dilated vascular structures of variable sizes and the thickness of the wall affecting the bowel submucosa, muscularis propria, and subserosa.
Mentions: Capsule endoscopy (CE) was performed to evaluate the mucosal lesion, however, the capsule was retained in the stomach for more than 16 hours so that we could not obtain any additional data from CE. Finally, the CE was passed out spontaneously after 30 hours from insertion of it. The patient underwent laparoscopic small bowel resection. Laparoscopic finding showed dark red and purple berrylike lesions covering the small bowel. The mass involved 13 cm of the mid jejunum and the lesion consisted of multiple cystic locules containing old blood (Figure 2A).

Bottom Line: Vascular malformation of the small bowel is a rare disease leading to pediatric GI bleeding.We present a case of long-segmental and circumferential vascular malformation that led to GI bleeding in a pre-school aged child, focusing on the radiologic findings.Although vascular malformation including of the GI tract is rare in children, it should be considered when GI bleeding occurs in pediatric patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University, School of Medicine, Yangsan, Republic of Korea.

ABSTRACT
Gastrointestinal (GI) bleeding in pediatric patients has several causes. Vascular malformation of the small bowel is a rare disease leading to pediatric GI bleeding. To our knowledge, few reports describe ultrasound and computed tomography findings of venous malformations involving the small bowel. We present a case of long-segmental and circumferential vascular malformation that led to GI bleeding in a pre-school aged child, focusing on the radiologic findings. Although vascular malformation including of the GI tract is rare in children, it should be considered when GI bleeding occurs in pediatric patients.

No MeSH data available.


Related in: MedlinePlus