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[Viscero-cutaneous hemangiomatosis]
Summary
A child with multiple skin hemangiomas experienced severe anemia from intestinal bleeding, requiring transfusions. Surgical resection of 32 intestinal hemangiomas resolved the bleeding and anemia.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Dermatology
Background:
- Infantile hemangiomas are common benign vascular tumors.
- Gastrointestinal hemangiomas can cause significant morbidity, including hemorrhage and anemia.
- This case highlights a rare presentation of extensive gastrointestinal hemangiomas in a pediatric patient.
Observation:
- A 3 1/2-year-old girl presented with severe anemia secondary to intestinal hemorrhage.
- The patient had multiple cutaneous hemangiomas and required multiple blood transfusions over three years.
- Numerous hemangiomas were identified throughout the duodenum and intestines.
Findings:
- Surgical resection of 32 duodenal and intestinal hemangiomas was performed.
- The patient experienced an uneventful postoperative recovery with cessation of gastrointestinal bleeding.
- An extensive esophageal hemangioma was intentionally left unresected.
Implications:
- Surgical management of extensive gastrointestinal hemangiomas can effectively control hemorrhage and correct anemia.
- Multidisciplinary care involving surgery, gastroenterology, and dermatology is crucial for managing complex hemangioma cases.
- Conservative management of residual hemangiomas, such as the esophageal one, may be feasible with careful monitoring.