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Gastric cavernous hemangioma: A rare case with upper gastrointestinal bleeding
Liang Zong1, Ping Chen, Guo Hao Shi
1Department of Gastrointestinal Surgery, Su Bei People's Hospital of Jiangsu Province, Yangzhou University, Yangzhou, Jiangsu 225001, P.R. China.
Oncology Letters
|August 1, 2012
Summary
A rare case of upper gastrointestinal bleeding was caused by a gastric hemangioma. This study details a 65-year-old woman diagnosed with and treated for this unusual gastric vascular tumor.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Vascular Medicine
Background:
- Upper gastrointestinal bleeding (UGIB) is a significant clinical concern.
- Gastric hemangiomas are rare benign vascular tumors of the stomach.
- UGIB secondary to gastric hemangioma is an exceptionally infrequent presentation.
Purpose of the Study:
- To report a rare case of upper gastrointestinal bleeding.
- To describe the diagnostic workup and management of a gastric hemangioma.
- To highlight the clinical presentation and pathological findings of this rare entity.
Main Methods:
- Case report of a 65-year-old female patient presenting with hematemesis.
- Diagnostic procedures included upper gastrointestinal endoscopy and abdominal contrast-enhanced computed tomography (CT).
- Surgical intervention involved a proximal gastrectomy, followed by histopathological examination.
Main Results:
- Endoscopy identified a 4x3 cm mass in the gastric fundus.
- CT scan revealed enhancing linear blood vessels within the gastric fundus mass.
- Postoperative pathological examination confirmed a cavernous hemangioma of the gastric fundus.
Conclusions:
- Gastric hemangioma can present as a rare cause of significant upper gastrointestinal bleeding.
- Multimodality imaging (endoscopy and CT) is crucial for diagnosis.
- Surgical resection, such as proximal gastrectomy, is an effective treatment for symptomatic gastric hemangiomas.
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