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

Abstract

Small intestinal hemangiomas are uncommon tumors that frequently present with gastrointestinal bleeding (GIB). Diagnosis, detection, and treatment can be challenging and may require surgical intervention. An 81-year-old female presented with melena. Video capsule endoscopy revealed active bleeding in the proximal jejunum and push enteroscopy identified a polypoid nodule with central umbilication. The patient underwent laparoscopic resection and jejunal submucosal hemangioma was detected. Submucosal hemangiomas are a rare cause of GIB. As the most common site of submucosal hemangiomas is the mid-jejunum, they are not easy to detect. Surgical intervention is usually required for a definitive diagnosis and definitive treatment.

Intestinal cavernous hemangioma as a cause of anemic syndrome and gastrointestinal bleeding

“…8 IH are associated as part of several genetic syndromes, including Von-Hippel-Lindau, Maffucci syndrome, Osler Weber-Rendu disease, Klippel-Trénaunay syndrome, or the congenital blue rubber bleb nevus syndrome. 1,9 The diagnosis of intestinal hemangioma can be challenging due to their location, they are often not detected during upper endoscopy or colonoscopy. 9 Magnetic resonance imaging and colonoscopy were unable to detect the lesion.…”

“…1,9 The diagnosis of intestinal hemangioma can be challenging due to their location, they are often not detected during upper endoscopy or colonoscopy. 9 Magnetic resonance imaging and colonoscopy were unable to detect the lesion. furthermore, computed tomography (CT) imaging can detect focal calcification in gastrointestinal hemangioma as a degenerative change.…”