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Small Intestinal Hemangioma: A Case Report.

Rodrigo Fedatto Beraldo1, Mariana Barros Marcondes1, Daniel Luiz da Silva1

  • 1Department of Internal Medicine, São Paulo State University (Unesp), Medical School, Botucatu, SP, Brazil.

The American Journal of Case Reports
|March 28, 2021
PubMed
Summary

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Intestinal hemangiomas are rare benign tumors that can mimic chronic bowel diseases. Early diagnosis is crucial, especially in patients with anemia, to ensure proper treatment and recovery.

Area of Science:

  • Gastroenterology
  • Vascular Neoplasms
  • Surgical Pathology

Background:

  • Hemangiomas are benign vascular neoplasms from embryonic mesodermal tissue, presenting diverse clinical features.
  • Intestinal hemangiomas are rare and can mimic chronic bowel diseases, necessitating consideration in differential diagnoses for abdominal pain and anemia.

Observation:

  • A 46-year-old woman presented with chronic abdominal pain and distension, along with microcytic hypochromic anemia.
  • Imaging revealed small intestinal thickening, dilation, and lymphadenopathy, initially suggesting infectious or neoplastic conditions.
  • Exploratory laparotomy identified a lesion consistent with cavernous hemangioma of the small intestine.

Findings:

  • Anatomopathological study confirmed a cavernous hemangioma measuring 2.6x1.0 cm in the small intestine.

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  • The patient experienced a full recovery and remained asymptomatic post-surgery.
  • Implications:

    • Intestinal hemangioma should be included in the differential diagnosis for chronic intestinal diseases, particularly when anemia is present.
    • This case highlights the importance of considering rare vascular tumors in patients with persistent gastrointestinal symptoms and unexplained anemia.