Isolated Cavernous Hemangioma: A Rare Benign Lesion of the Stomach

Gastric cavernous hemangioma is a relatively rare benign gastric disease. Gastric hemangiomas are most commonly encountered in adulthood, although they can occur in any age group. While surgical resection is the curative treatment, endoscopic resection can be performed for treatment of selected cases. The patient was a 53-year-old male who was referred for evaluation of incidentally detected gastric subepithelial tumor with dense vascularity and oozing on the apex of the lesion. An EUS revealed a homogenously hypoechoic mass confined to the submucosal layer that showed no continuity with adjacent vessels, and there was no regional lymphadenopathy. Endoscopic submucosal dissection was successfully performed with en bloc resection. The final diagnosis was benign cavernous hemangioma of the stomach.

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Section: 서 론unclassified

A Case of Gastric Cavernous Hemangioma Diagnosed by Endoscopic Submucosal Dissection

Kim

Han

Jang

et al. 2013

Korean J Helicobacter Up Gastrointest Res

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“…Diagnostic modality is largely dependent on the size of the lesion, with initial investigation being endoscopy followed by computerized tomography (CT) or magnetic resonance imaging (MRI) [4]. Surgery is the definitive treatment for GHs, with confirmation of diagnosis via post-resection histological evaluation.…”

Section: Introductionmentioning

confidence: 99%

Cavernous Gastric Hemangioma as an Unusual Cause of Upper Gastrointestinal Bleeding in a Young Woman

Sun

2022

Case Rep Gastroenterol

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Gastric hemangiomas (GHs) are extremely rare vascular lesions of mesodermal origin that may occur in isolation or in conjunction with underlying congenital pathology. Due to the scarcity of these tumors, there is no standardized diagnostic method; however, many have found the combination of endoscopic investigation and radiographic imaging to be most effective, with the presence of phleboliths on computerized tomography as being pathognomonic for GHs. Surgical treatment for symptomatic lesions is curative with no reports of recurrence. We describe a 21-year-old woman who presented with epigastric pain and one episode of 250 mL hematemesis earlier that morning. Under the impression of an upper gastrointestinal bleed due to peptic ulcer disease, esophagogastroduodenoscopy was performed which revealed a 5-cm blood clot-like mass similar in appearance to that of a II-b peptic ulcer, but the presence of a bridging fold led to the suspicion of a possible submucosal tumor. Dynamic computerized tomography scan showed similar findings, and the patient was referred for surgical intervention. Laparoscopic distal gastrectomy was performed with the final diagnosis of cavernous GH made via histological evaluation. The patient was discharged 9 days later with no complications. This case puts emphasis on the importance of considering cavernous GH as a potential cause of severe upper GI bleeding especially in those with atypical demographic profile and history.

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“…These neoplasms have no potential for malignant transformation [1,2]. In most of the cases, they are less than 4cm in size and do not require any surgical intervention if asymptomatic [3,4]. These tumors tend to increase in size and thus cause mass effects on adjacent tissue [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…In most of the cases, they are less than 4cm in size and do not require any surgical intervention if asymptomatic [3,4]. These tumors tend to increase in size and thus cause mass effects on adjacent tissue [2,3]. We refer to surgical interventions in symptomatic cases, and when mass growth reaches 10cm or more [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Management of Large Left Lobe Hepatic Hemangioma Presenting as Gastric Hemangioma on Radiology: A Case Report and Literature Review

Saber¹,

Habchi²,

Feghaly³

et al. 2021

COR

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Hepatic cavernous hemangiomas are the most common benign tumors of the liver. They can be found incidentally in the general population in up to 20% of the cases. On the other hand, gastric hemangioma is a very rare entity. These tumors account for only 0.05% of all gastrointestinal (GI) neoplasms. Hemangiomas have no malignant transformation potential. They are detected using CT-scan or MRI. Endoscopy can play a role in the differentiation of gastric from hepatic hemangiomas. Hepatic hemangioma can be associated with portal vein thrombosis as a mass effect resultant. Surgery is recommended for the treatment of symptomatic hemangiomas or giant ones (above 10cm). Laparoscopy is recommended for symptomatic hemangiomas less than 4cm or those who harbor a vascular pedicle. Here we present a case of a 50-year-old male presenting with a history of 1 month duration of epigastric pain and 5 kilograms of weight loss diagnosed on imaging studies with gastric hemangioma and partial portal vein thrombosis. Laparoscopic approach was adopted to deal with his condition. Intra-operatively, he was found to have hepatic hemangioma of around 10cm associated with complete atrophy of the left liver lobe. Decision was taken intra-operatively to carry a laparoscopic left hepatectomy regardless of all the challenges that pose laparoscopy in general for any hepatectomy. This decision was taken due to the presence of a vascular pedicle, which was clipped for hemostatic control.

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Isolated Cavernous Hemangioma: A Rare Benign Lesion of the Stomach

Cited by 7 publications

References 13 publications

A Case of Gastric Cavernous Hemangioma Diagnosed by Endoscopic Submucosal Dissection

A Case of Gastric Cavernous Hemangioma Diagnosed by Endoscopic Submucosal Dissection

Cavernous Gastric Hemangioma as an Unusual Cause of Upper Gastrointestinal Bleeding in a Young Woman

Laparoscopic Management of Large Left Lobe Hepatic Hemangioma Presenting as Gastric Hemangioma on Radiology: A Case Report and Literature Review

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