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Jejunal Submucosal Hemangioma as a Cause of Massive Gastrointestinal Bleeding: A Case Report
Laith Numan1, Ahmed Elkafrawy1, Tim Brotherton1
1Internal Medicine, University of Missouri-Kansas City School of Medicine, Kansas City, USA.
Abstract:
Small intestinal hemangiomas are uncommon tumors that frequently present with gastrointestinal bleeding (GIB). Diagnosis, detection, and treatment can be challenging and may require surgical intervention. An 81-year-old female presented with melena. Video capsule endoscopy revealed active bleeding in the proximal jejunum and push enteroscopy identified a polypoid nodule with central umbilication. The patient underwent laparoscopic resection and jejunal submucosal hemangioma was detected. Submucosal hemangiomas are a rare cause of GIB. As the most common site of submucosal hemangiomas is the mid-jejunum, they are not easy to detect. Surgical intervention is usually required for a definitive diagnosis and definitive treatment.
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