A Rare Cause of Intestinal Obstruction: Jejunal Cavernous Hemangioma

Abstract

emangiomas are often benign and usually present at birth. Hemangiomas are microscopically classified as capillary, cavernous and mixed type, the most commonly encountered as the cavernous type. Intestinal cavernous hemangiomas are mostly located in the upper and lower gastrointestinal levels, whereas small intestinal location is rare. The main clinical presentation of intestinal hemangiomas is gastrointestinal bleeding and another rare clinical presentations may be in the form of obstruction, intussusception, intramural hematoma, perforation and platelet sequestration. The size of cavernous hemangiomas is often less than 5 mm, the diameter rarely exceeds 1 cm, and most lesions are limited to the submucosa. 1-5 By means of this case, we would like to mention that cavernous hemangioma should be kept in mind for the rare reason of intestinal obstruction. CASE REPORT A 21-years-old female patient was submitted into the emergency department with complaints of abdominal pain, nausea, vomiting and constipation for the last three days. The first examination of the patient revealed the presence of widespread distension and tenderness on all quadrants in the abdomen, the intestinal sounds were hypoactive, and rectum found empty on the rectal digital examination. Hemogram, biochemistry, full urinalysis, abdominal X-Ray and ultrasonography (USG) were obtained. No pathological findings were detected except for slight neutrophil dominance in the laboratory results. Air fluid levels were present in abdominal X-Ray, in USG examination enlarged intestinal segments filled with secretion were