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[Multiple intestinal hemangioma: report of two cases]
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|September 1, 1989
Summary
Multiple intestinal hemangiomas are rare and challenging to diagnose in children. Surgical resection can effectively treat this condition, improving symptoms like abdominal pain and bleeding.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Vascular Malformations
Background:
- Intestinal hemangiomas are rare vascular tumors that can present with significant gastrointestinal bleeding or abdominal pain in children.
- Diagnosis can be challenging due to the small intestine's location and the non-specific nature of symptoms.
Observation:
- This report details two pediatric cases of multiple intestinal hemangiomas.
- Case 1: A 4-year-old boy with recurrent abdominal pain and gastrointestinal hemorrhage, initially undiagnosed by standard imaging.
- Case 2: A newborn presenting with fetal ascites, with the diagnosis confirmed intraoperatively.
Findings:
- Exploratory laparotomy revealed multiple intestinal hemangiomas in both patients.
- Symptoms, including abdominal pain, hemorrhage, and ascites, resolved after surgical intervention (segmental bowel resection).
Implications:
- Highlights the importance of considering intestinal hemangioma in the differential diagnosis of pediatric abdominal pain, bleeding, or ascites.
- Emphasizes that even with negative initial investigations, surgical exploration may be necessary for definitive diagnosis and treatment.
- Suggests that surgical management, specifically segmental resection, is an effective treatment for symptomatic intestinal hemangiomas in children.