Small intestinal hemangioma: A case report

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dc.coverageDOI: 10.12659/AJCR.929618
dc.creatorBeraldo, Rodrigo Fedatto
dc.creatorMarcondes, Mariana Barros
dc.creatorda Silva, Daniel Luiz
dc.creatorGrillo, Thais Gagno
dc.creatorBaima, Julio Pinheiro
dc.creatorde Barros, Jaqueline Ribeiro
dc.creatorQuera, Rodrigo
dc.creatorSaad-Hossne, Rogério
dc.creatorSassaki, Ligia Yukie
dc.date2021
dc.date.accessioned2025-11-18T19:48:02Z
dc.date.available2025-11-18T19:48:02Z
dc.description<p>BACKGROUND Hemangiomas are benign vascular neoplasms that originate from fast-growing embryonic mesodermal tissue and have a proliferation of endothelial cells, which manifest themselves in different forms, locations, and dimensions. Owing to its rarity and similarity of symptoms with other chronic bowel diseases, intestinal hemangioma is a differential diagnosis to be considered in patients presenting with symptoms such as abdominal pain and anemia. CASE REPORT A 46-year-old woman with a history of diffuse abdominal pain and abdominal distension for 20 years presented with a worsening of symptoms in the past year. She denied weight loss or changes in bowel habits or stool appearance. Laboratory investigations showed microcytic hypochromic anemia. Colonoscopy results were normal. A contrast-enhanced abdominal computed tomography scan showed focal and concentric thickening of the small intestine, measuring 8.3 cm, and associated with calcifications, intestinal dilation, mesenteric lymph node enlargement, and vascular dilatation and consistent with infectious granulomatous diseases such as intestinal tuberculosis, carcinoid tumor, Crohn's disease, and lymphoma. The tuberculin skin test resulted in a strong 25-mm reaction. We suspected intestinal tuberculosis or expansive injury, and the patient underwent exploratory laparotomy with visualization of a 4- to 5-cm bluish/blackish vegetating lesion located 220 cm from the Treitz angle. The anatomopathological study showed cavernous hemangioma of the small intestine, measuring 2.6×1.0 cm. The patient recovered well and remained asymptomatic. CONCLUSIONS Although rare, intestinal hemangioma should be on the list of differential diagnoses for chronic intestinal diseases, especially if there is anemia due to coexisting iron deficiency.</p>eng
dc.identifierhttps://investigadores.uandes.cl/en/publications/a34b436c-8e5c-4ab6-bc6e-22f0f08051ec
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/55348
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.22 (2021) date: 2021-03-28 nr.1 p.e929618
dc.subjectCrohn disease
dc.subjectDiagnosis, differential
dc.subjectHemangioma, cavernous
dc.subjectInflammatory bowel diseases
dc.subjectEndothelial Cells
dc.subjectIntestine, Small
dc.subjectHemangioma/diagnosis
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectCrohn Disease
dc.subjectFemale
dc.subjectTuberculosis, Gastrointestinal
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSmall intestinal hemangioma: A case reporteng
dc.typeArticleeng
dc.typeArtículospa
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