Preoperative detection and localization of small bowel hemangioma: Two case reports

Abstract

Among the various diagnostic modalities for small bowel hemangioma, video capsule endoscopy (VCE) and double-balloon enteroscopy (DBE) can be recommended as part of the work-up in patients with obscure gastrointestinal bleeding (OGIB). DBE is superior to VCE in the accuracy of diagnosis and therapeutic potential, while in most cases total enteroscopy cannot be achieved through only the antegrade or retrograde DBE procedures. As treatment for small bowel bleeding, especially spout bleeding, localization of the lesion for the decision of DBE insertion facilitates early treatment, such as endoscopic hemostatic clipping, allowing patients to avoid useless transfusion and the worsening of their disease into life-threatening status. Applying endoscopic India ink marking prior to laparoscopic surgical resection is a particularly useful technique for more minimally invasive treatment. We report two cases of small bowel hemangioma found in examinations for OGIB that were treated with combination of laparoscopic and endoscopic modalities.

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

“…Push enteroscopy, unlike capsule endoscopy, also plays a role in the management of intestinal hemangioma, offering an opportunity for biopsy, hemostatic intervention, and definitive treatment [12][13]. As occurred in this case, biopsy carries a risk of bleeding.…”

Duodenal capillary hemangioma as an atypical cause of iron deficiency. Case report

“…El diagnóstico inicial del hemangioma capilar duodenal suele ser endoscópico: estructura con morfología polipoidea o en montículo, con un rango de color desde azulado hasta rojizo que característicamente es fácilmente deformable con la compresión 4 ; la coloración no fue de ayuda en el diagnóstico de este caso pero sí presentaba una morfología polipoidea. Debido a que endoscópicamente pueden presentar características dispares en cuanto a tamaño, forma y color, requieren la realización de una prueba de imagen para valorar su extensión, generalmente un tomografía computarizada abdominal o una resonancia magnética abdominal 5 .…”

Successful Endoscopic Sclerotherapy Using Polidocanol for Small Bowel Hemangioma

“…Considering that small bowel SMTs in BRBNS patients are mainly known to present as cavernous hemangiomas ( 10 ), endoscopic ultrasonography may be omitted in the diagnosis of these lesions. Small bowel hemangiomas are non-epithelial benign tumors composed of proliferating blood vessels and are sometimes encountered as a source of bleeding, along with other vascular small bowel lesions ( 11 - 13 ). CECT is recommended in the early stages of the diagnostic work-up of patients presenting with acute lower gastrointestinal bleeding ( 14 , 15 ).…”