Case ReportCASE REPORTS AND CLINICAL OBSERVATIONS

Small Bowel Hemangioma in a 2-Year-Old Female With Recurrent Anemia

Jessica Coleman, Ryan Phillips and Rodney Steiner
Ochsner Journal December 2018, 18 (4) 428-432; DOI: https://doi.org/10.31486/toj.18.0099

Article Figures & Data

Figures

  • Figure 1.
    Figure 1. Meckel scan in a patient with recurring anemia showed transit of excreted radiotracer throughout the small bowel and proximal colon that demonstrates peristalsis. This finding is favored to be artifactual within the right colon without definite evidence of focal uptake in the region of the expected location of a Meckel diverticulum. An addendum report identified apparent simultaneous accumulation of radiotracer in the right lower quadrant in the stomach suspicious for a Meckel diverticulum.
  • Figure 2.
    Figure 2. Operative findings indicated a vascular malformation.
  • Figure 3.
    Figure 3. Pathology determined that the 4.5 cm × 2 cm specimen was a benign hemangioma of the small bowel with focal fibrosis, calcification, and thrombosis.

Tables

  • Table. Reported Cases of Small Bowel Hemangioma in Pediatric Patients
    CaseAge/SexLocation/TypeSymptomsTreatment/Outcome
    Bae et al, 2015213 years/MaleJejunum/Cavernous hemangiomaRecurrent iron-deficiency anemia, nausea, and dizzinessResection/Discharged after 7 days and no further issues
    Han et al, 2014313 months/MaleJejunum/Cavernous hemangioma involving submucosa to the subserosaMelena and nonbilious vomiting for 15 daysResection/Discharged on seventh day and no further issues
    Han et al, 201438 years/MaleRectum/Cavernous hemangiomaHematochezia for 3 monthsResection/Discharged on twelfth day and no further issues
    Han et al, 2014315 years/FemaleJejunum, distal ileum/Cavernous hemangiomaDizzinessResection/Recurrence of multiple hemangiomas in stomach and small bowel 4 years later; no anemia or intestinal bleeding
    Papparella et al, 20144Not givenJejunum/Type not specifiedGastrointestinal bleedingResection/Discharged with no further complications
    Turcotte et al, 2012516 years/FemaleJejunum/Capillary hemangiomaFatigue and weaknessResection/No further issues and uneventful recovery
    Stojsic et al, 2008613 years/FemaleIleum/Capillary hemangioma, pyogenicIntestinal obstructionResection/No further issues
    Kavin et al, 200672.5 years/FemaleJejunum/Mixed capillary hemangiomaMelenic stoolsResection/No further issues
    Sakaguchi et al, 1998811 years/MaleIleum/Cavernous hemangiomaRecurrent anemia and abdominal painResection/Discharged after 7 days and no further issues
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