Korean J Gastrointest Endosc.  2002 Sep;25(3):142-146.

A Case of Mixed Type Hemangioma of the Stomach with Upper Gastrointestinal Hemorrhage

Affiliations
  • 1Department of Internal Medicine, Maryknoll Hospital, Busan, Korea. mkhim01@thrunet.com
  • 2Department of Pathology, Maryknoll Hospital, Busan, Korea.

Abstract

Hemangioma in the gastrointestinal tract rarely occurs especially in the stomach compared with the small and large intestine. A 45-year-old man was admitted with pneumonia. After hematemesis, the authors performed gastroscopy, which revealed active bleeding on the huge ulcer on the antrum of the stomach and multiple erosive lesions on the whole stomach. After multiple submucosal hypertonic saline injection and hemoclipping at the huge ulcerative lesion, ulcer bleeding stopped. Three days later, recurrent massive upper gastrointestinal bleeding occured at the same site of the stomach. To prevent futher recurrent bleeding, total gastrectomy with esophagojejunostomy and splenectomy was done. The histologic diagnosis of the ulcerative lesion was hemangioma of mixed type. We report this rare case with the brief literature review.

Keyword

Mixed hemangioma; Gastrointestinal bleeding

MeSH Terms

Diagnosis
Gastrectomy
Gastrointestinal Hemorrhage*
Gastrointestinal Tract
Gastroscopy
Hemangioma*
Hematemesis
Hemorrhage
Humans
Intestine, Large
Middle Aged
Pneumonia
Splenectomy
Stomach*
Ulcer
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