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World journal of gastroenterology : WJG, 2020-04, Vol.26 (14), p.1674-1682
2020
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Autor(en) / Beteiligte
Titel
Small bowel racemose hemangioma complicated with obstruction and chronic anemia: A case report and review of literature
Ist Teil von
  • World journal of gastroenterology : WJG, 2020-04, Vol.26 (14), p.1674-1682
Ort / Verlag
United States: Baishideng Publishing Group Inc
Erscheinungsjahr
2020
Quelle
MEDLINE
Beschreibungen/Notizen
  • Gastrointestinal hemangiomas are rare benign tumors. According to the size of the affected vessels, hemangiomas are histologically classified into cavernous, capillary, or mixed-type tumors, with the cavernous type being the most common and racemose hemangiomas being very rare in the clinic. Melena of uncertain origin and anemia are the main clinical manifestations, and other presentations are rare. Due to the rarity of gastrointestinal hemangiomas and lack of specific manifestations and diagnostic methods, preoperative diagnoses are often delayed or incorrect. We report a 5-year-old girl who presented with abdominal pain, nausea, and vomiting for a duration of 10 h. The laboratory studies showed prominent anemia. Computed tomography and contrast-enhanced computed tomography of the abdomen revealed a small bowel obstruction caused by a giant abdominal mass. Segmental resection of the ileal lesions was performed through surgery, and the final pathology results revealed a diagnosis of racemose hemangioma complicated by a small bowel obstruction and simultaneous chronic anemia. The current report will increase the understanding of the diagnosis and treatment of gastrointestinal hemangiomas and provide a review of the related literature.

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