Mass-like lesions including a rare case of Melena causing Masson's Hemangioma among the capsule endoscopy cases of the Semmelweis university-2nd department of internal medicine during 2014

Lippai, D; Madácsy, László; Baló, Tímea; Halasz, Jennifer; Nehéz, László; Hagymási, Krisztina; Papp, G; Németh, Artúr; Máthé, Z.; Pápay, Judit; Mihály, Emese; Sápi, Z; Herszényi, László; Tulassay, Z.

doi:10.1055/s-0035-1551872

Cited by 3 publications

(6 citation statements)

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“…A literature review revealed 24 reported cases of IPEH within the abdominal cavity, including the urogenital tract, retroperitoneum, adrenal glands, and liver [13][14][15][16]. Seven cases of IPEH within the gastrointestinal lumen have been reported: five in the jejunum, one in the ileum and one in the duodenum [3][4][5][6][7][8][9]. Nonetheless, there have been no reports of IPEH occurring in the cecum.…”

Section: Discussionmentioning

confidence: 99%

“…The chief complaint in seven cases was abdominal pain and melena in three cases, melena and anemia in three cases, and right lower abdominal pain and ileus in one case [3][4][5][6][7][8][9]. Two cases were diagnosed by upper double-balloon enteroscopy, two by upper gastrointestinal endoscopy, and one by capsule endoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are scattered reports of IPEH occurring in the head and trunk and oral cavity [2]; however, IPEH in the gastrointestinal tract is uncommon. According to the Pub-Med database, six cases of IPEH in the small intestine and one case of IPEH occurring in the ileocecal valve have been reported [3][4][5][6][7][8][9], although there are no reports of IPEH in the cecum.…”

Section: Introductionmentioning

confidence: 99%

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Intravascular papillary endothelial hyperplasia in the cecum: a case report

et al. 2022

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Background Intravascular papillary endothelial hyperplasia (IPEH), also known as Masson's tumor, is a benign, non-neoplastic vascular lesion that is characterized by reactive proliferation of papillary endothelial cells associated with a thrombus. These lesions typically develop in the vascular regions of the head and neck, oral cavity, or extremities; however, other organ systems have been affected. IPEH in the gastrointestinal tract is rare, with only a few cases reported to date. Thus, the pathogenesis and clinical features of IPEH in the gastrointestinal tract are not entirely understood. Moreover, the local excision of certain subtypes of IPEH can be curative; this makes timely diagnosis essential. We present the case of a patient with IPEH in the cecum that was discovered while investigating the cause of severe anemia. Case presentation A 29-year-old woman visited a general practitioner (GP) with the complaint of abdominal pain. She was diagnosed with acute appendicitis and was prescribed antibiotics. After treatment, her abdominal pain disappeared. However, she was found to be severely anemic (hemoglobin level, 6.5 g/dl). To determine the cause of her anemia, the GP referred her to our hospital for further examination and treatment. Computed tomography scan revealed cecal wall thickening. Further, a lower gastrointestinal endoscopy revealed a 2-cm raised mass-like lesion in the cecum. This lesion was pathologically identified as an inflammatory granuloma. The cause of her anemia was determined to be bleeding from the lesion in the cecum. She underwent laparoscopic ileocecal resection. Histopathological examination of the surgical specimen revealed a spongy structure comprising many small papillary fibrous tissues lined by a typical monolayer endothelium. Further, immunohistochemical analysis showed that the cells of the endothelium monolayer expressed CD31, CD34. The Ki-67 labeling index was < 1%. Based on these findings, the lesion was identified as an IPEH in the cecum. The patient’s postoperative course was uneventful, and there was no evidence of recurrence during the 1.3 years of follow-up. Conclusions IPEH rarely arises within the abdominal cavity. Surgery remains the only treatment for IPEH and is associated with an excellent prognosis and a low recurrence rate. More aggressive lesions such as angiosarcoma should be excluded when considering the histologic diagnoses of IPEH, and expert pathologic review is vital. This is the first report of IPEH occurring in the cecum and represents a novel cause of gastrointestinal bleeding which the clinician should consider when evaluating a patient with atypical or difficult gastrointestinal bleeding sources.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intravascular papillary endothelial hyperplasia in the cecum: a case report

et al. 2022

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“…This benign tumour most frequently occurs on the fingers, head and neck, or trunk. Furthermore, these lesions can develop within any blood vessel and rarely involve other systems, such as abdominal organs, with only a few cases reported [ 3 , 6 , [8] , [9] , [10] , [11] , [12] , [13] , [14] ]. In this report, we present a case of IPEH responsible for persistent bleeding localised in the jejunum.…”

Section: Introductionmentioning

confidence: 99%

Intravascular papillary endothelial hyperplasia (Masson's tumour) in the jejunum: A case report of unusual gastrointestinal bleeding.

Jordan,

Alessia,

Thibaud

et al. 2024

International Journal of Surgery Case Reports

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“…IPEH can occur in other organ systems, and clinical manifestations depend on the affected site. Six cases of IPEH of the small intestine have been reported 2-6…”

Section: Introductionmentioning

confidence: 99%

Intravascular Papillary Endothelial Hyperplasia of the Jejunum as a Cause of Obscure-Overt Gastrointestinal Bleeding

Gotfried

Dorta

Maranki

2017

ACG Case Reports Journal

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Intravascular papillary endothelial hyperplasia (IPEH), or Masson’s tumor, is a rare, benign vascular lesion characterized by reactive endothelial proliferation with venous stasis and thrombus. Lesions typically arise in vascular regions of the head and neck or extremities, but involvement of other organ systems has been reported. Clinically, IPEH mimics other benign lesions (hemangiomas) and malignant neoplasms (angiosarcoma) depending on the affected site. Diagnosis is essential because local excision of certain IPEH subtypes is curative. IPEH in the gastrointestinal tract is rare with few reported cases. We present a case of obscure-overt gastrointestinal bleeding from IPEH of the jejunum.

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Mass-like lesions including a rare case of Melena causing Masson's Hemangioma among the capsule endoscopy cases of the Semmelweis university-2nd department of internal medicine during 2014

Cited by 3 publications

References 0 publications

Intravascular papillary endothelial hyperplasia in the cecum: a case report

Intravascular papillary endothelial hyperplasia in the cecum: a case report

Intravascular papillary endothelial hyperplasia (Masson's tumour) in the jejunum: A case report of unusual gastrointestinal bleeding.

Intravascular Papillary Endothelial Hyperplasia of the Jejunum as a Cause of Obscure-Overt Gastrointestinal Bleeding

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