Korean J Gastroenterol.  2022 Apr;79(4):187-190. 10.4166/kjg.2022.035.

Small Bowel Hemangioma Complicated with Obstruction

Affiliations
  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea


Figure

  • Fig. 1 Simple abdominal X-ray. (A) Supine simple X-ray image shows small bowel dilatation. (B) Erect simple X-ray image shows multiple air-fluid levels suggesting small bowel obstruction.

  • Fig. 2 Abdominal computed tomography on Admission date. (A) Coronal reconstruction images showed segmental enhancing wall thickening of small bowel loop with perilesional infiltration (arrow). (B) Axial reconstruction shows the segmental wall thickening of jejunum (arrow).

  • Fig. 3 Abdominal computed tomography on 3 days later. (A) Coronal reconstruction images showed slightly decompressed state of proximal small bowel dilatations with perilesional infiltration (arrow). (B) Axial reconstruction shows the no change of segmental wall thickening of jejunum (arrow).

  • Fig. 4 (A, B) Intraoperative image showing that there was 6.2 cm lesion on the jejunum with bluish purple coloration and compressible varices on its surface.

  • Fig. 5 Postoperative histopathological image shows the presence of arterial wall and venous wall in muscle layer (hematoxylin and eosin stain, ×40). It reveals a small bowel hemangioma, arteriovenous malformation.


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