Giant mesenteric hemangioma of cavernous and venous mixed type: a rare case report

Abstract

BackgroundAlthough vascular tumours are one of the most common soft tissue neoplasms, those occurring in the gastrointestinal system are rare and cases involving mesentery are even further rare. Herein, we reported a rare case of giant hemangioma in mesentery of the small bowel.Case presentationA 5-year-old girl was admitted to the emergency room with abdominal pain and vomit for two days. Ultrasonography and computed tomography showed a giant solid-cystic abdominal mass, preferring diagnosis of teratoma. A large neoplasm in the mesentery of the small bowel was found in the surgical exploration, which was then resected with the partial bowel. A brown honeycomb mass in size 16 cm×8 cm×5 cm was observed to adhere to the small bowel, and diagnosed as hemangioma of cavernous and venous mixed type in final pathology.ConclusionThe mesenteric hemangioma is extremely rare and the variable imaging tests are non-specific, thus the diagnosis is rarely made before surgery and usually established by histopathological investigation after surgery. So the mesenteric hemangioma is supposed to be differentiated in abdominal mass, either in adults or children. Complete surgical resection is the optimal treatment.

Resection of a laryngeal hemangioma in an adult using an ultrasonic scalpel: A case report

“…These types consist of a capillary type, a cavernous type and a mixed type (7). The cavernous type is most commonly observed, and it involves an expanded vessel with a thin wall (7). In the present case, blood vessel hyperplasia and hemangiectasis squamous mucosa were present beneath the squamous mucosa, and a phlebolith was present in the vessel.…”

“…Currently, the histopathology of hemangiomas is classified into three types according to vessel size and wall thickness. These types consist of a capillary type, a cavernous type and a mixed type (7). The cavernous type is most commonly observed, and it involves an expanded vessel with a thin wall (7).…”

Cavernous haemangioma mimicking as clitoral hypertrophy

“…The most common location is head and neck, extremities and trunk but rarely it can involve genitalia and very rarely it can present as clitoromegaly. [4] Only four cases have previously been reported in the literature of cavernous haemangioma mimicking as clitoromegaly . [1,5,6,7] All the reported cases have been observed in young and adolescent patients, and none of them have been diagnosed before pathological examination of the mass [ Table 1].…”

Mesenteric Cavernous Hemangioma with Urological Symptoms

“…Most patients with mesenteric cavernous hemangioma present with gastrointestinal symptoms, such as bleeding and obstruction (1). In this report, to our knowledg, we describe the first case of mesenteric cavernous hemangioma with urological symptoms (1,2). A 66-year-old man with severe pain radiating toward his penis during urination visited our hospital.…”