J Korean Assoc Pediatr Surg.  2012 Jun;18(1):24-29. 10.13029/jkaps.2012.18.1.24.

Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection

• Park J

• KMID: 1433781
• DOI: http://doi.org/10.13029/jkaps.2012.18.1.24

Abstract

Although hemangiomas are common vascular tumors that can occurany where in the body, they seldom involve the gastrointestinal tract. Hemangiomas of the gastrointestinal tract in infants and children are rare benign vascular tumors that most commonly present with gastrointestinal bleeding. We describe here the case of 2-year-old boy with intestinal bleeding caused by a large jejunal cavernous hemangioma, which was treated by laparoscopy-assisted resection of the affected portion of the jejunum.

Keyword

Hemangioma; Gastrointestinal hemorrhage; Anemia; Laparoscopy

MeSH Terms

Anemia
Caves
Child
Gastrointestinal Hemorrhage
Gastrointestinal Tract
Hemangioma
Hemangioma, Cavernous
Hemorrhage
Humans
Infant
Jejunum
Laparoscopy
Preschool Child

Figure

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  Fig. 1 Abdominopelvic CT scan with contrast medium, showing circumferential thickening of the small bowel with central enhancement in the pelvic cavity.

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  Fig. 2 Surgical specimen, showing a 10 × 4 cm circumferential blood-filled reddish mass involving the serosal surface of the jejunum.

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  Fig. 3 Microscopic examination of the hemangioma, showing large, dilated, blood-filled vessels lined by flattened endothelium and focal thickening of the vascular walls by adventitial fibrosis (H & E, × 20 original magnification).

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