Mesenteric cavernous hemangioma: Imaging-pathologic correlation

Aufort, S.; Khellaf, Lakhdar; Ramos, Jeanne; Gasne, Pierre; Durand, L

doi:10.1016/j.diii.2015.01.006

Cited by 7 publications

(11 citation statements)

References 9 publications

(11 reference statements)

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“…This last finding is more evident in fat suppression sequences [ 1 , 6 ]. These lesions do not restrict in diffusion [ 11 ]. Phleboliths are usually signal void on T1 and T2 weighted images.…”

Section: Discussionmentioning

confidence: 99%

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

Toro

Ramos

Iglesias

et al. 2018

Cureus

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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.

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Section: Discussionmentioning

confidence: 99%

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

Toro

Ramos

Iglesias

et al. 2018

Cureus

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“…Histologically, cavernous hemangiomas are composed of dilated vessels of varying sizes, which are lined with attened endothelial cells with little brous connective tissue between the vascular channels. The vessel lumen often shows thrombosis and contains a large number of erythrocytes (9,13,14). To avoid the risk of bleeding during biopsy, we used immunohistochemistry to diagnose our patient.…”

Section: Discussionmentioning

confidence: 99%

“…It is not clear whether mesenteric hemangiomas originate in the bowel wall or in the mesentery. Some reported cases have been thought to originate in the bowel wall and extend into the mesentery (5)(6)(7)(8)(9)(10)(11)(12). In previous reports, hemangiomas have been mostly located in the small intestine mesentery (5,6,(8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Cavernous hemangioma of the mesorectum involving the rectum: A rare case report

Zhang

2020

Preprint

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Background: Gastrointestinal hemangiomas are very rare and are even rarer in the mesentery. It is not known whether they originate in the bowel wall or the mesentery currently. Some studies have described mesenteric hemangiomas that originate in the bowel wall and extend into the mesentery. We herein describe a case of cavernous hemangioma of the mesorectum. Case presentation: A 31-year-old male presented with hematochezia and sensation of rectal tenesmus. Both the rectal MRI and contrast-enhanced CT scan of the whole abdomen indicated rectal wall thickening, marked dilated and tortuous vessels around the rectum. In addition, an anomalous vein had arisen from the superior mesenteric vein, extending down to the mesorectum. The patient underwent laparoscopic surgical resection of the mesorectal lesion and the involved portions of the rectum. The surgical samples underwent pathological analysis, and a diagnosis of mesenteric cavernous hemangioma was confirmed. Seven days after surgery, the patient was discharged without postoperative complications.Conclusion: Mesenteric hemangiomas are extremely rare tumors. In our present case, an anomalous vein had arisen from the superior mesenteric vein, extending down to the mesorectum. This findings suggest that the mesenteric hemangioma more likely originated in the mesentery.

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“…1,4,6 On imaging, a review of literature reveals that mesenteric hemangiomas have no characteristic imaging features, and it is not until final pathology where the type of hemangioma can be identified. 7 Further, the differential diagnosis of a mesenteric mass is vast, and once identified, a differential can include cystic lymphangioma and mesothelial lesions, desmoid tumor, solitary fibrous tumor, peritoneal carcinomatosis, leiomymomatosis, teratoma or lipoma. 7 Due to the location of mesenteric masses, biopsies are difficult to obtain, but all require further exploration and likely surgery.…”

Section: Figure 1: (A) and (B) A Discrete Well-defined Cystic-appearimentioning

confidence: 99%

“…7 Further, the differential diagnosis of a mesenteric mass is vast, and once identified, a differential can include cystic lymphangioma and mesothelial lesions, desmoid tumor, solitary fibrous tumor, peritoneal carcinomatosis, leiomymomatosis, teratoma or lipoma. 7 Due to the location of mesenteric masses, biopsies are difficult to obtain, but all require further exploration and likely surgery.…”

Section: Figure 1: (A) and (B) A Discrete Well-defined Cystic-appearimentioning

confidence: 99%

A rare case of an asymptomatic mesenteric hemangioma: an incidental finding

Luster¹,

Gandhi²,

Reich³

2019

Int Surg J

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A 60-year-old female patient presented with incidental finding of duodenal mesenteric hemangioma during the work up for a ventral hernia. Our patient presented at the age of 60-years-old with complaints of a ventral hernia. After initial imaging on CT showed an incidental finding of a mesenteric mass, an MRI confirmed the diagnosis, in this otherwise asymptomatic female. The patient underwent an exploratory laparotomy with complete excision of the mesenteric mass. Final pathology shows findings of a mesenteric hemangioma. The finding of a mesenteric mass requires further investigation. While benign and rare, mesenteric hemangiomas should be considered as a possible differential diagnosis in patients with radiographic evidence of a mesenteric mass, especially if the patient has symptoms of gastrointestinal hemorrhage. The literature on mesenteric hemangiomas is reviewed. Hemangioma of the GI tract mesentery is a rare pathology but should be included in the differential diagnosis in patients presenting with an intraabdominal mass.

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Mesenteric cavernous hemangioma: Imaging-pathologic correlation

Cited by 7 publications

References 9 publications

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

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

Cavernous hemangioma of the mesorectum involving the rectum: A rare case report

A rare case of an asymptomatic mesenteric hemangioma: an incidental finding

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