Haemangiomas of the Small Intestine: Poorly Known Cause of Gastrointestinal Bleeding of Uncertain Origin

Abstract

Small bowel haemangiomas are benign vascular tumours that may cause gastrointestinal bleeding of uncertain origin, are frequently chronic, and are rarely acute. We report a case of an haemangioma located in the distal ileum of a 29-year-old male with a history of chronic anemia since childhood. Imaging studies showed a mural thickening in the distal ileum with phleboliths, which is a key finding of haemangioma. Surgery was performed, and histology confirmed the diagnosis.

Gastrointestinal infantile hemangioma: A rare cause of digestive tract bleeding in children to consider

“…Similar to what has already been reported in other studies, the patient opened her clinical picture with bleeding from the lower digestive tract. 5 …”

Jejunal Submucosal Hemangioma as a Cause of Massive Gastrointestinal Bleeding: A Case Report

“…Furthermore, endoscopic snare resection is associated with a risk of incomplete resection as tumor depth of invasion can be challenging to predict [14]. Surgical resection of the hemangioma and affected segment of bowel is the preferred treatment as it is diagnostic and also offers definitive treatment of the lesion [10,15]. While intestinal hemangiomas are a rare cause of GI hemorrhage, they can present with massive blood loss and surgical emergencies including obstruction, volvulus, and perforation.…”

Cavernous Hemangioma: A Rare Cause of Massive Lower Gastrointestinal Bleeding

“…Engorgement of the mesenteric vessels located adjacent to the lesion may also be seen. MRI demonstrates wall thickening with T1-weighted images showing low signal intensity, and T2-weighted images showing high signal intensity [14]. Radionuclide imaging and selective angiography may be reserved for patients with active GI bleeding at the time of evaluation.…”

“…Moreover, it is more likely to be helpful in the presence of multiple, relatively small hemangiomas. However, endoscopic therapy may be associated with an increased risk of intestinal perforation, particularly, in the case of transmural intestinal hemangiomas [12,14].…”