Preoperative diagnosis of cavernous hemangioma presenting with melena using wireless capsule endoscopy of the small intestine

Akazawa, Yu; Hiramatsu, Katsushi; Nosaka, Takuto; Saitō, Yasushi; Ozaki, Yoshihiko; Takahashi, Kazuto; Naito, Tateaki; Ofuji, Kazuya; Matsuda, Hidetaka; Ohtani, Masahiro; Nemoto, Tomoyuki; Suto, Hiroyuki; Yamaguchi, Akio; Imamura, Yoshiaki; Nakamoto, Yasunari

doi:10.1055/s-0041-111321

Cited by 10 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, CT imaging can detect focal calcification in gastrointestinal hemangioma as a degenerative change [10]. Gastrointestinal endoscopy, including esophagogastroduodenoscopy, colonoscopy, and capsule endoscopy, can also be useful diagnostic tools for gastrointestinal cavernous hemangioma [8]. While the chronic right lower quadrant pain and the appendiceal wall thickening with focal calcifications that were observed by CT in this study have not been described for CHA previously, they corroborate the pathology of CHA.…”

Section: Discussionsupporting

confidence: 79%

See 1 more Smart Citation

A case of diffuse cavernous hemangioma of the appendix: laparoscopic surgery can facilitate diagnosis and treatment

et al. 2017

View full text Add to dashboard Cite

BackgroundA cavenous hemangioma of the appendix (CHA) is rare. The clinical pathophysiology and adequate management of a CHA have not been sufficiently explained since reports on CHA are scarce.Case presentationA 56-year-old woman presented with chronic right lower quadrant pain. Abdominal contrast-enhanced computed tomography revealed a thickened appendix (1.5 cm in diameter) and some focal calcifications in the appendiceal wall. No acute inflammatory signs were visible around the appendix. For diagnosis and treatment, we performed a laparoscopic surgery. Intraoperative findings included purple granular lesions that were spread diffusely along the surface of the appendix. Since these lesions were spread to the terminal ileum, laparoscopic ileocecal resection was performed. Upon macroscopic inspection, purple-colored, raspberry-like lesions were found diffusely on the serosal surface of the appendix. No lesions were found on the mucosal surface. Hematoxylin and eosin staining indicated the presence of blood-filled sinus-like spaces largely in the subserosal layer. Immunohistochemistry analysis indicated that CD34-positive cells lined these spaces. Given these findings, we diagnosed the patient with a diffuse cavernous vascular malformation of the appendix.ConclusionsCHA is difficult to diagnose. A laparoscopic approach may be useful for both the diagnosis and treatment of the disease.

show abstract

Section: Discussionsupporting

confidence: 79%

“…Meanwhile, in other reports, no diagnostic imaging modalities were employed and CHA was not diagnosed preoperatively [3, 6]. Gastrointestinal cavernous hemangiomas can cause pain and gastrointestinal bleeding [8, 9]. Furthermore, CT imaging can detect focal calcification in gastrointestinal hemangioma as a degenerative change [10].…”

Section: Discussionmentioning

confidence: 99%

A case of diffuse cavernous hemangioma of the appendix: laparoscopic surgery can facilitate diagnosis and treatment

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[2][3] Akazawa Yu y colaboradores, en 2016, revisaron las publicaciones de hemangiomas desde el año 2000 al 2018, evidenciando 46 casos de hemangiomas publicados, de los cuales solo 17 presentaron diagnóstico preoperatorio, 10 con VCE y 7 con enteroscopia. [4][5] La toma de biopsias de estas lesiones está contraindicada por el alto riesgo de sangrado. La ultrasonografía endoscópica tiene un rol importante en la caracterización y el diagnóstico.…”

Section: Discussionunclassified

Escleroterapia endoscópica en hemangioma de intestino delgado. Reporte de un caso

Giraudo

Garbi

Yantorno

et al. 2022

Acta gastroenterol. latinoam.

View full text Add to dashboard Cite

Hemangiomas of the small bowel are an uncommon and difficult-to-diagnose cause manifesting with bleeding of the midgut. We report an 18 -year- old male under study due to iron deficiency anaemia. A video-capsule endoscopy was performed, revealing multiple raised lobulated violaceous lesions in the small intestine of 5 to 15 mm diameter, compatible with hemangiomas. Endoscopic therapy was carried out using an injection of 1% polidocanol, achieving the sclerosis of the lesion without complications and the correction of the anaemia.

show abstract

“…In cases of unclear GI bleeding, examinations such as CT, esophagogastroduodenoscopy, colonoscopy, or bone marrow puncture are essential, and capsule endoscopy, double-balloon intestinal enteroscopy, and multi-detector CT can be considered if necessary [ 6 ]. In cases of small hemangiomas, preoperative diagnosis is extremely difficult because they are rarely demonstrable with traditional techniques such as esophagoduodenoscopy and colonoscopy.…”

Section: Discussionmentioning

confidence: 99%

Solitary jejunal cavernous hemangioma causing intermittent melena: A case report

Heo

2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction and importance Hemangioma of the small intestine is a rare disease that causes acute and chronic intestinal bleeding and is difficult to diagnose before surgery. This report presents a case of a cavernous hemangioma confined to the jejunum of a man with intermittent melena. Case presentation A 38-year-old man presented with an episode of melena one and a half month ago. He had similar symptoms a year ago and had undergone esophagogastroduodenoscopy, colonoscopy, and abdominopelvic computed tomography, but the results were normal. Abdominopelvic computed tomography performed after hospitalization showed a small intraluminal protruding mass in the jejunum. A jejunal hemangioma was found during laparoscopy and was successfully treated with intestinal resection. Clinical discussion It is difficult to identify the cause of gastrointestinal bleeding preoperatively in patients with normal esophagogastroduodenoscopy, colonoscopy, and abdominopelvic computed tomography results. Small bowel tumors, especially small hemangiomas, should be considered as a cause. Laparoscopy may be one option for finding and treating lesions of the small intestine in hospitals where capsule endoscopy or double-balloon intestinal enteroscopy is not available. Conclusion This report presents a case of a cavernous hemangioma localized in the jejunum of a 38-year-old man with intermittent melena that was successfully treated with laparoscopy and intestinal resection, thereby emphasizing the usefulness of laparoscopy in hospitals where capsule endoscopy or double-balloon intestinal enteroscopy is not available.

show abstract

Preoperative diagnosis of cavernous hemangioma presenting with melena using wireless capsule endoscopy of the small intestine

Cited by 10 publications

References 8 publications

A case of diffuse cavernous hemangioma of the appendix: laparoscopic surgery can facilitate diagnosis and treatment

A case of diffuse cavernous hemangioma of the appendix: laparoscopic surgery can facilitate diagnosis and treatment

Escleroterapia endoscópica en hemangioma de intestino delgado. Reporte de un caso

Solitary jejunal cavernous hemangioma causing intermittent melena: A case report

Contact Info

Product

Resources

About