Korean J Gastroenterol.  2008 Sep;52(3):183-187.

An Adult Case of Small Bowel Intussusception Caused by Hemangioma Presenting with Intestinal Bleeding

• Kim SY
• Jeon TJ
• Hong JH
• Kim GS
• Oh TH
• Seo DD
• Shin WC
• Choi WC

Abstract

Intussusception is primarily a disease of children, and is relatively rare in adults. Unlike childhood intussusception, adult intussusception has an identifiable leading lesion such as malignant or benign neoplasm. However, intussusception caused by hemangioma is very rare. There were few cases of small bowel intussusception caused by hemangioma in adults, but those reports were presented with abdominal pain. This report describes a 65-year-old female who suffered from small bowel intussusception caused by hemangioma presenting with intestinal bleeding. Upper gastrointestinal endoscopy and colonoscopy were performed, but bleeding focus was not found. Abdominal computed tomography showed the target sign of small bowel with a leading point of mass. This mass turned out to be a hemangioma after the small bowel resection. Therefore, small bowel intussusception by hemangioma should be also considered as a bleeding focus when an adult patient presented intestinal bleeding without bleeding focus in the stomach and colon. Herein we report a case of small bowel intussusception caused by hemangioma presenting with intestinal bleeding.

Keyword

Adult intussusception; Small bowel intussusception; Hemangioma; Bleeding

MeSH Terms

Aged
Diagnosis, Differential
Female
Gastrointestinal Hemorrhage/*etiology
Hemangioma/*complications/pathology
Humans
Intestinal Neoplasms/*complications/pathology
*Intestine, Small
Intussusception/*diagnosis/etiology/pathology
Tomography, X-Ray Computed