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Bleeding duodenal hemangioma: morphological changes and endoscopic mucosal resection
Noriko Nishiyama1, Hirohito Mori, Hideki Kobara
1Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa Medical University, 1750-1 Miki, Kita, Kagawa 761-0793, Japan. n-nori@med.kagawa-u.ac.jp
World Journal of Gastroenterology
|June 22, 2012
Summary
Endoscopic mucosal resection effectively treated a duodenal hemangioma in an elderly patient presenting with severe anemia. This minimally invasive approach offers a viable option for managing duodenal hemangiomas.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Endoscopic procedures have advanced minimally invasive treatments.
- Duodenal hemangioma is rare, with limited case reports on endoscopic mucosal resection (EMR).
Observation:
- An 80-year-old woman presented with tarry stools and severe anemia (hemoglobin 4.2 g/dL).
- Upper endoscopy revealed a 20 mm, bleeding, semipedunculated tumor in the superior duodenal angle.
- Initial biopsy suggested telangiectatic hemangioma.
Findings:
- EMR was performed for diagnosis and treatment.
- Histopathology confirmed duodenal hemangioma with dilated, proliferated capillary lumens.
- The patient recovered from anemia, with no recurrence after one year.
Implications:
- EMR is a feasible treatment for duodenal hemangioma when considering all therapeutic strategies.
- Duodenal hemangiomas exhibit morphological changes influenced by factors like mechanical stimuli.
- This case highlights the successful application of EMR for a symptomatic duodenal hemangioma.
