Korean J Gastrointest Endosc.  2011 Apr;42(4):263-267.

A Case of Capillary Hemangioma in the Jejunum Detected by Single Balloon Enteroscopy in a Patient with Anemia

• Cho JH
• Jang JY
• Cho CH
• Shim J
• Dong SH
• Kim HJ
• Kim BH
• Chang YW

Abstract

Hemangiomas are uncommon benign vascular tumors that account for up to 10% of all small bowel tumors. The jejunum is the most common location, and gastrointestinal bleeding is a frequent clinical presentation. Histologically, hemangiomas are classified as cavernous, capillary, or mixed types. Capillary hemangiomas are dense collections of capillaries usually with a hyperplastic endothelium. There have been a few cases of small bowel capillary hemangioma revealed by capsule endoscopy and confirmed after surgical resection. But preoperative detection of hemangiomas in the small intestine has not been reported, as far as we know, associated with the use of balloon-assisted enteroscopy. This report describes a 44-year-old male with a small bowel mass considered to be a cause of severe iron deficiency anemia. In this case, we performed capsule endoscopy and single balloon enteroscopy to examine the lesion. The patient then underwent a segmental resection of the jejunum, which confirmed the presence of a capillary hemangioma with surface ulceration.

Keyword

Capillary hemangioma; Single-balloon enteroscopy

MeSH Terms

Adult
Anemia
Anemia, Iron-Deficiency
Capillaries
Capsule Endoscopy
Caves
Endothelium
Hemangioma
Hemangioma, Capillary
Hemorrhage
Humans
Intestine, Small
Jejunum
Male
Ulcer