Bleeding small bowel cavernous haemangioma following blunt trauma to the abdomen presenting as subacute intestinal obstruction in a child

Aziz, Dayang Anita Abdul; Khandasamy, Yugasaravanan; Tamba, Riana Pauline; Zaki, Faizah Mohd

doi:10.1136/bcr.08.2011.4672

Cited by 5 publications

(5 citation statements)

References 7 publications

(5 reference statements)

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“…These benign malformations are classified into 4 categories [6] : Capillary lymphangioma, cavernous lymphangioma, cystic lymphangioma (hygroma), and hemolymphangioma (a combination of hemangioma and lymphangioma). All kinds of the categories may result in occult or massive gastrointestinal (GI) bleeding, perforation, abdominal pain, obstruction and intussusception, [7] According to the location of the overlapping organs, intestinal overlap presents a variety of nonspecific clinical symptoms, GI bleeding and abdominal pain are the most common, [8] leading to anemia in most patients. [9] The unspecific symptoms of the early clinical manifestations in small intestinal hemangioma due to the particularity and complexity of the small intestinal anatomy.…”

Section: Discussionmentioning

confidence: 99%

An adult case of small bowel intussusception caused by hemangioma presenting with intestinal obstruction: A case report

Shi¹,

Zhang³

et al. 2022

Medicine

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Introduction: Both small bowel intussusception in adults and small bowel hemangioma are rare benign mass lesions. Moreover, a secondary effect of intussusception caused by hemangioma is extremely rare. Patient concerns: A 87-year-old female suffered from intussusception and intestinal obstruction caused by hemangioma located in the small bowel (February 14, 2020), reporting abdominal distention without nausea and vomiting. Diagnosis: Emergency abdominal and pelvic computed tomography showed an intussusception with the evidence of associated small bowel obstruction. Histological analysis revealed as small intestinal hemangioma accompanied by mesenteric ulcer. Interventions: The patient underwent segmental resection of intussusception of intestine instead of invalid conservative treatment. Outcomes: Although the postoperative pathological results were inconsistent with preoperative imaging examination, the old woman recovered well. Conclusion: The literature on intussusception of small intestine has described several possible causes including hemangioma, which more likely results in gastrointestinal bleeding or abdominal pain. Yet we experienced a rare case presenting as abdominal distention without nausea and vomiting, Therefore, preoperative diagnosis and localization of these lesions is of great importance. We recommend high resolution contrast-enhanced computed tomography and magnetic resonance imaging should be considered in diagnosis while capsule endoscopy is not available owing to the intestinal obstruction, as long as in facilitating surgical excision.

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Section: Discussionmentioning

confidence: 99%

An adult case of small bowel intussusception caused by hemangioma presenting with intestinal obstruction: A case report

Shi¹,

Zhang³

et al. 2022

Medicine

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“…Intestinal hemangiomas may be solitary or multiple and they could also be a part of different syndromes such as Blue-rubberbleb syndrome, Maffucci syndrome, Klipletrenaunay-weber syndrome, and Peutz jegher syndrome. 2 Hemangiomas are microscopically classified as capillary, cavernous and mixed type, the most commonly encountered being the cavernous type. 3 Cavernous hemangiomas are seen as areas surrounded by endothelial tissue filled with blood.…”

Section: Discussionmentioning

confidence: 99%

“…3 Cavernous hemangiomas are seen as areas surrounded by endothelial tissue filled with blood. 2,4 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, with cavernous hemangiomas causing more severe and acute hemorrhages, whereas capillary hemangiomas cause occult blood loss.…”

Section: Discussionmentioning

confidence: 99%

“…The main clinical presentation of intestinal hemangiomas is gastrointestinal bleeding, with cavernous hemangiomas causing more severe and acute hemorrhages, whereas capillary hemangiomas cause occult blood loss. 1,2,5 Other clinical presentations may be in the form of obstruction, intussusception, intramural hematoma, perforation, and platelet sequestration. 3,5 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.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Cause of Intestinal Obstruction: Jejunal Cavernous Hemangioma

Dönmez¹,

Özkirli²,

Uludağ³

et al. 2018

Turkiye Klinikleri J Case Rep

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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

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“…The majority of these cases have been described in peritoneal viscera, most notably the liver and the small intestines. 1,[11][12][13] As noted by Davis et al, 9 little is currently known about whether head injury increases the risk of bleeding for intracerebral CMs. To our knowledge, there are only 2 reports in the neurosurgical literature that describe posttraumatic hemorrhage of a CM.…”

Section: Discussionmentioning

confidence: 99%

Association between trauma and acute hemorrhage of cavernous malformations in children: report of 3 cases

Fanous

Jowdy

Lipinski

et al. 2016

PED

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OBJECTIVE Cavernous hemangiomas are benign congenital vascular abnormalities. Intracerebral cavernous hemangiomas have an appreciable risk of spontaneous hemorrhage. Little is known as to whether head trauma increases the risk of bleeding for these lesions. In this study, the authors present a case series of 3 patients with posttraumatic nonspontaneous hemorrhage of intracerebral cavernous malformations (CMs). For the first time, to the authors' knowledge, they propose that trauma might constitute a risk factor for acute hemorrhage in intracerebral cavernomas. METHODS The authors reviewed the charts of all patients with a new diagnosis of intracerebral cavernoma at their pediatric hospital between 2010 and 2014. Patients with a history of head trauma prior to presentation were subsequently studied to identify features common to these posttraumatic, hemorrhage-prone lesions. RESULTS A history of head trauma was identified in 3 of 19 cases. These 3 patients presented with seizures and/or headaches and were found to have acute hemorrhage within a cavernous hemangioma. None of these patients had any history of abnormal neurological symptoms. All 3 abnormal vascular lesions had associated developmental venous anomalies (DVAs). The 3 patients underwent resection of their respective vascular abnormalities, and the diagnosis of cavernous hemangioma was confirmed with postsurgical tissue pathology. All 3 patients had complete resolution of symptoms following complete excision of their lesions. CONCLUSIONS Trauma may represent a risk factor for acute hemorrhage in patients with CMs. The presence of associated DVAs may represent a risk factor for posttraumatic hemorrhage of cavernomas. Excision should be considered in such cases, if feasible.

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Bleeding small bowel cavernous haemangioma following blunt trauma to the abdomen presenting as subacute intestinal obstruction in a child

Cited by 5 publications

References 7 publications

An adult case of small bowel intussusception caused by hemangioma presenting with intestinal obstruction: A case report

An adult case of small bowel intussusception caused by hemangioma presenting with intestinal obstruction: A case report

A Rare Cause of Intestinal Obstruction: Jejunal Cavernous Hemangioma

Association between trauma and acute hemorrhage of cavernous malformations in children: report of 3 cases

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