Jejunum cavernous hemangioma � a rare cause of gastrointestinal bleeding

Abstract

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.