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Infantile Hemangioma Presenting as Colocolic Intussusception in an Infant Case Report with Review of Pathologic Lead

Rehan Rais1, Iván González1, Jacqueline M Saito1

  • 1Lauren V. Ackerman Laboratory of Surgical Pathology, and Division of Pediatric Surgery, St. Louis Children's Hospital, Washington University Medical Center, St. Louis, MO, USA.

Case Reports in Pediatrics
|July 24, 2018
PubMed

Insights

A rare case of infantile hemangioma (IH) caused a bowel obstruction in an infant. This GLUT-1 positive vascular anomaly occurred internally, without skin lesions, leading to colocolic intussusception.

Area of Science:

  • Pediatric Surgery
  • Vascular Anomalies
  • Gastroenterology

Background:

  • Infantile hemangioma (IH) is a common vascular tumor in infants, typically presenting as skin lesions.
  • Intussusception is a serious condition where one part of the intestine slides into another.

Observation:

  • A 10-week-old infant presented with colocolic intussusception, a rare form of bowel obstruction.
  • The infant had no visible skin lesions suggestive of infantile hemangioma.

Findings:

  • A GLUT-1 positive infantile hemangioma was identified as the lead point causing the intussusception.
  • This case is unique as IH is rarely the cause of intussusception, especially without cutaneous manifestations.

Implications:

  • Highlights the importance of considering internal vascular anomalies in pediatric intussusception, even without skin findings.
  • Suggests a potential, albeit rare, link between infantile hemangioma and gastrointestinal obstruction requiring surgical intervention.

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