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Multiple diffuse hemangiomas of the large intestine.

N Matsuhashi1, H Nakagama, K Moriya

  • 1Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.

Gastroenterologia Japonica
|October 1, 1991
PubMed
Summary
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This case study describes a 54-year-old male with multiple large intestinal hemangiomas, presenting with mild consumption coagulopathy. The study highlights rare diffuse hemangiomas in the rectosigmoid and ascending colon.

Area of Science:

  • Gastroenterology
  • Vascular Malformations
  • Hematology

Background:

  • Intestinal hemangiomas are rare vascular malformations that can present with diverse symptoms.
  • Diffuse hemangiomas of the large intestine are particularly uncommon, posing diagnostic challenges.

Observation:

  • A 54-year-old male presented with multiple, diffuse hemangiomas of the large intestine, primarily in the rectosigmoid and ascending colon.
  • Polypoid lesions were noted in the transverse colon, with phleboliths (calcifications) observed within the hemangiomas.
  • The patient had no external skin hemangiomas or systemic bleeding tendency.

Findings:

  • Blood examinations revealed mild consumption coagulopathy, a condition affecting blood clotting.
  • The presence of diffuse hemangiomas correlated with subclinical hemostatic abnormalities.

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Implications:

  • This case underscores the importance of considering intestinal hemangiomas in patients with unexplained gastrointestinal bleeding or coagulopathy.
  • Early detection and management of intestinal hemangiomas are crucial to prevent complications.
  • Further research into the pathogenesis and optimal treatment strategies for diffuse intestinal hemangiomas is warranted.