Cavernous hemangioma of mesentery involving the jejunum causing intestinal obstruction in an adult male

Thapa, Srijana; Koirala, Udaya; Joshi, Bijendra Dhoj; Baniya, Anish; Pokhrel, Bidushi

doi:10.1002/ccr3.5905

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Hemangiomas account for 5 to 10 % of all benign lesions of the SB and can present as acute bleeding (1). This case highlights the relevance of the timing of SBCE in patients with overt suspected SB bleeding maximizing diagnostic and therapeutic yield (2).…”

Section: Discussionmentioning

confidence: 81%

Jejunum cavernous hemangioma � a rare cause of gastrointestinal bleeding

Nascimento¹,

Albergaria²,

Brito³

et al. 2023

Rev Esp Enferm Dig

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CASE REPORTA 69-year-old male with a medical history of atrial fibrillation on edoxaban was admitted with a three-day history of melaenas. Blood tests showed a hemoglobin level of 4.9 g/dl. On esophagogastroduodenoscopy, no blood or signs of bleeding were seen.On colonoscopy, dark red blood residue in the terminal ileum was identified. Smallbowel capsule endoscopy (SBCE) showed a violaceous polypoid lesion in the intestinal mucosa of the proximal jejunum with evidence of bright red blood (Fig. 1). Balloonassisted enteroscopy showed several violaceus protruded areas with active bleeding, non-amenable to endoscopic control. Surgical exploration revealed several vascular lesions of the small bowel (SB) over 130 cm with active bleeding. A segmental resection was performed. Macroscopic examination showed bluish-colored lesions (Fig. 2). Histopathological exam showed a jejunum cavernous hemangioma (Fig. 3). The patient had no episodes of subsequent bleeding.

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Section: Discussionmentioning

confidence: 81%