Large cavernous hemangioma in the cecum treated by laparoscopic ileocecal resection

Jung Wook Huh1, Sang Hyuk Cho, Jae Hyuk Lee

  • 1Department of Surgery, Chonnam National University Hwasun Hospital and Medical School, Gwangju 501-757, South Korea.

Insights

Cavernous hemangiomas in the cecum are rare vascular malformations that can cause significant bleeding. This case highlights successful minimally invasive surgical removal of a large cecal hemangioma with pericolic infiltration.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Surgical Oncology

Background:

  • Cavernous hemangiomas are rare vascular malformations.
  • Cecal hemangiomas are particularly uncommon and pose a risk of massive hemorrhage.
  • Clinical presentation can be insidious or present with acute bleeding.

Observation:

  • A large cavernous hemangioma involving the cecum was identified.
  • The hemangioma demonstrated pericolic infiltration.
  • The patient presented with symptoms necessitating surgical intervention.

Findings:

  • Successful complete resection of the cecal cavernous hemangioma was achieved.
  • Minimally invasive surgical techniques were employed for removal.
  • Histopathological examination confirmed the diagnosis of cavernous hemangioma with infiltration.

Implications:

  • Minimally invasive surgery is a viable and effective approach for managing complex cecal hemangiomas.
  • Early diagnosis and surgical management can prevent life-threatening hemorrhage.
  • This case contributes to the limited literature on surgical management of cecal cavernous hemangiomas.

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