Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia

Abstract

Cavernous hemangiomas of the gastrointestinal tract are extremely rare. In particular, the diagnosis of small bowel hemangiomas is very difficult in children. A 13-year-old boy presented at the outpatient clinic with dizziness and fatigue. The patient was previously diagnosed with iron-deficiency anemia at 3 years of age and had been treated with iron supplements continuously and pure red cell transfusion intermittently. Laboratory tests indicated that the patient currently had iron-deficiency anemia. There was no evidence of gross bleeding, such as hematemesis or bloody stool. Laboratory findings indicated no bleeding tendency. Gastroduodenoscopy and colonoscopy results were negative. To obtain a definitive diagnosis, the patient underwent capsule endoscopy. A purplish stalked mass was found in the jejunum, and the mass was excised successfully. We report of a 13-year-old boy who presented with severe and recurrent iron-deficiency anemia caused by a cavernous hemangioma in the small bowel without symptoms of gastrointestinal bleeding.

Cavernous Hemangioma of the Small Bowel: A Case Report and Literature Review

“…The diameter of the lesions varied from 0.8 cm to 50 cm. Most studies showed suspicious findings on capsule endoscopy and the lesions were resected surgically or endoscopically [ 1 , 5 - 7 , 9 - 14 , 16 - 18 ]. Ejtehadi et al demonstrated a hemangioma on scintigraphy and CT enterography while no positive finding was found on capsule endoscopy [ 15 ]; another reported case was diagnosed with contrast-enhanced CT and MRI preoperatively [ 8 ].…”

Small Bowel Hemangioma in a 2-Year-Old Female With Recurrent Anemia

“…Hemangiomas in the small intestine are rare benign tumors and account for approximately 5% of all GI neoplasms. 2 GI hemangiomas typically occur in the ileum and are rarely found in children. A literature review revealed only 9 known cases (Table).…”

“…A literature review revealed only 9 known cases (Table). [2][3][4][5][6][7][8] Patients with GI hemangioma present with melena and hematochezia, sometimes causing severe anemia, or with symptoms of obstruction. Patients may also exhibit abdominal discomfort, abdominal pain, dizziness, nausea, vomiting, fatigue, general weakness, and malaise.…”

Hemangiomas of Abdominal Organs in Children

“…Выполненные операции не отличались большим разнообразием [4][5][6] Гемангиомы печени -редкое заболевание у детей [7][8][9]. Гемангиомы могут быть небольшими и могут достигать очень больших размеров, быть красного, синего цвета, бугристыми, консистенция плотная или мягко-эластичная.…”