Combined capillary hemangioma and angiodysplasia of the ileum: An unusual cause of obscure gastrointestinal bleeding with preoperative localization by double-balloon endoscopy
Department of General Surgery, Changhua Christian Hospital, Taiwan. American journal of surgery
(Impact Factor: 2.29).
04/2010; 200(2):e30-2. DOI: 10.1016/j.amjsurg.2009.11.015
Vascular lesions in the small bowel with bleeding complications are usually difficult to diagnose and localize preoperatively. With the increased use of either capsule endoscopy or enteroscopy, there have been more reports of preoperative diagnosis from such lesions. The authors report a rare case of obscure gastrointestinal bleeding from a combined hemangioma and angiodysplasia identified by double-balloon enteroscopy. To the authors' knowledge, this is the first report of such combined lesions.
Available from: Han-Mo Chiu
- "entrance into previously unexplored areas of the deep intestines; therefore, the diagnostic skills to recognize hemangiomas are becoming more attainable for endoscopists . Similar to our patient, previous endoscopy reports of intestinal hemangiomas have described them as typically submucosal     , purple to red   , soft  , and pedunculated   or sessile . It is remarkable that superficial capillary networks and fine varicosities in our patient strongly suggested the vascular nature of the lesion. "
[Show abstract] [Hide abstract]
ABSTRACT: We report a 27-year-old female with chronic iron deficiency anemia and unexplained fecal occult blood. Abdominal ultrasonography and computed tomography disclosed a possible endoluminal lesion in the small intestine. Single-balloon enteroscopy detected the target lesion in the proximal ileum. The lesion was a 2.5-cm submucosal tumor that was purple-red, soft, had a narrow base, and exhibited superficial telangiectasia. After endoscopic marking, the tumor was resected with minimally invasive laparoscopy. It was histologically confirmed as a cavernous hemangioma. In this report, we discuss the endoscopic characteristics, surgical and pathological assessment, and management strategy of hemangiomas in the small intestine.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.