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Transumbilical single-site laparoscopic treatment of small intestinal cavernous hemangioma in child: a case report
Meng Kong1,2, Weiqiang Liu3, Yuexia Bai4
1Department of Pediatric Surgery, Children's Hospital Affiliated to Shandong University, Jinan, China.
Insights
This case report details a rare pediatric small intestinal hemangioma causing gastrointestinal bleeding. Laparoscopic surgery successfully removed the benign vascular tumor, highlighting its importance in diagnosing rare pediatric GI bleeds.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Vascular Oncology
Background:
- Hemangiomas, typically benign vascular tumors, rarely occur in the gastrointestinal tract.
- Small intestinal hemangiomas are exceptionally rare, especially in pediatric patients.
- Diagnosing the cause of pediatric gastrointestinal bleeding can be challenging.
Observation:
- A 21-month-old girl presented with chronic gastrointestinal bleeding and anemia.
- Imaging revealed a small intestinal mass, suspected to be a hemangioma.
- Laparoscopic surgery identified and resected a 6cm jejunal tumor.
Findings:
- Postoperative pathology confirmed the diagnosis of cavernous hemangioma.
- The tumor was successfully removed via segmental intestinal resection.
- This case highlights a rare cause of pediatric gastrointestinal bleeding.
Implications:
- Small intestinal hemangiomas should be considered in the differential diagnosis of pediatric gastrointestinal bleeding.
- Laparoscopic resection is an effective treatment for small intestinal hemangiomas.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
Background:
While hemangiomas are the most commonly occurring benign vascular tumors, their occurrence in the gastrointestinal system is rare. This case report presents a unique instance of small intestinal hemangioma in a pediatric patient.
Case Description:
A 21-month-old girl was admitted to the hospital with a history of "recurrent blood in the stool for one year and anemia for five months." Upon evaluation at our facility, abdominal color ultrasound and enhanced CT scans revealed a protruding mass in the wall of the small intestine, leading to a preliminary diagnosis of small intestinal hemangioma. Subsequent single-site umbilical laparoscopic exploration identified a tumor measuring approximately 6cm×2.5cm×1.2cm on the jejunum wall. Consequently, segmental resection of the intestine was performed, and the postoperative pathological diagnosis confirmed cavernous hemangioma.
Conclusion:
Small intestinal hemangiomas, particularly in pediatric patients, are exceptionally rare and challenging to diagnose as the cause of gastrointestinal bleeding prior to surgery. Hence, small intestinal hemangiomas should be considered in such cases. Laparoscopic surgical resection emerges as the optimal approach for addressing small intestinal hemangiomas.
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