Small intestinal hemangioma: A case report

Detalhes bibliográficos
Autor(a) principal: Beraldo, Rodrigo Fedatto [UNESP]
Data de Publicação: 2021
Outros Autores: Marcondes, Mariana Barros [UNESP], da Silva, Daniel Luiz [UNESP], Grillo, Thais Gagno [UNESP], Baima, Julio Pinheiro [UNESP], de Barros, Jaqueline Ribeiro [UNESP], Quera, Rodrigo, Saad-Hossne, Rogério [UNESP], Sassaki, Ligia Yukie [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.12659/AJCR.929618
http://hdl.handle.net/11449/207512
Resumo: Objective: Background: Case Report: Conclusions: Rare disease Hemangiomas are benign vascular neoplasms that originate from fast-growing embryonic mesodermal tissue and have a proliferation of endothelial cells, which manifest themselves in different forms, locations, and di-mensions. Owing to its rarity and similarity of symptoms with other chronic bowel diseases, intestinal hem-angioma is a differential diagnosis to be considered in patients presenting with symptoms such as abdominal pain and anemia. A 46-year-old woman with a history of diffuse abdominal pain and abdominal distension for 20 years presented with a worsening of symptoms in the past year. She denied weight loss or changes in bowel habits or stool appearance. Laboratory investigations showed microcytic hypochromic anemia. Colonoscopy results were nor-mal. A contrast-enhanced abdominal computed tomography scan showed focal and concentric thickening of the small intestine, measuring 8.3 cm, and associated with calcifications, intestinal dilation, mesenteric lymph node enlargement, and vascular dilatation and consistent with infectious granulomatous diseases such as intestinal tuberculosis, carcinoid tumor, Crohn’s disease, and lymphoma. The tuberculin skin test resulted in a strong 25-mm reaction. We suspected intestinal tuberculosis or expansive injury, and the patient underwent exploratory laparotomy with visualization of a 4-to 5-cm bluish/blackish vegetating lesion located 220 cm from the Treitz angle. The anatomopathological study showed cavernous hemangioma of the small intestine, measuring 2.6×1.0 cm. The patient recovered well and remained asymptomatic. Although rare, intestinal hemangioma should be on the list of differential diagnoses for chronic intestinal dis-eases, especially if there is anemia due to coexisting iron deficiency.
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spelling Small intestinal hemangioma: A case reportCrohn diseaseDiagnosis, differentialHemangioma, cavernousInflammatory bowel diseasesObjective: Background: Case Report: Conclusions: Rare disease Hemangiomas are benign vascular neoplasms that originate from fast-growing embryonic mesodermal tissue and have a proliferation of endothelial cells, which manifest themselves in different forms, locations, and di-mensions. Owing to its rarity and similarity of symptoms with other chronic bowel diseases, intestinal hem-angioma is a differential diagnosis to be considered in patients presenting with symptoms such as abdominal pain and anemia. A 46-year-old woman with a history of diffuse abdominal pain and abdominal distension for 20 years presented with a worsening of symptoms in the past year. She denied weight loss or changes in bowel habits or stool appearance. Laboratory investigations showed microcytic hypochromic anemia. Colonoscopy results were nor-mal. A contrast-enhanced abdominal computed tomography scan showed focal and concentric thickening of the small intestine, measuring 8.3 cm, and associated with calcifications, intestinal dilation, mesenteric lymph node enlargement, and vascular dilatation and consistent with infectious granulomatous diseases such as intestinal tuberculosis, carcinoid tumor, Crohn’s disease, and lymphoma. The tuberculin skin test resulted in a strong 25-mm reaction. We suspected intestinal tuberculosis or expansive injury, and the patient underwent exploratory laparotomy with visualization of a 4-to 5-cm bluish/blackish vegetating lesion located 220 cm from the Treitz angle. The anatomopathological study showed cavernous hemangioma of the small intestine, measuring 2.6×1.0 cm. The patient recovered well and remained asymptomatic. Although rare, intestinal hemangioma should be on the list of differential diagnoses for chronic intestinal dis-eases, especially if there is anemia due to coexisting iron deficiency.Department of Internal Medicine São Paulo State University (Unesp) Medical SchoolDepartment of Gastroenterology Clinica Universidad de los AndesDepartment of Surgery Medicine São Paulo State University (Unesp) Medical SchoolDepartment of Internal Medicine São Paulo State University (Unesp) Medical SchoolDepartment of Surgery Medicine São Paulo State University (Unesp) Medical SchoolUniversidade Estadual Paulista (Unesp)Clinica Universidad de los AndesBeraldo, Rodrigo Fedatto [UNESP]Marcondes, Mariana Barros [UNESP]da Silva, Daniel Luiz [UNESP]Grillo, Thais Gagno [UNESP]Baima, Julio Pinheiro [UNESP]de Barros, Jaqueline Ribeiro [UNESP]Quera, RodrigoSaad-Hossne, Rogério [UNESP]Sassaki, Ligia Yukie [UNESP]2021-06-25T10:56:26Z2021-06-25T10:56:26Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.12659/AJCR.929618American Journal of Case Reports, v. 22, n. 1, 2021.1941-5923http://hdl.handle.net/11449/20751210.12659/AJCR.9296182-s2.0-85103108096Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengAmerican Journal of Case Reportsinfo:eu-repo/semantics/openAccess2024-08-14T17:22:13Zoai:repositorio.unesp.br:11449/207512Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:22:13Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Small intestinal hemangioma: A case report
title Small intestinal hemangioma: A case report
spellingShingle Small intestinal hemangioma: A case report
Beraldo, Rodrigo Fedatto [UNESP]
Crohn disease
Diagnosis, differential
Hemangioma, cavernous
Inflammatory bowel diseases
title_short Small intestinal hemangioma: A case report
title_full Small intestinal hemangioma: A case report
title_fullStr Small intestinal hemangioma: A case report
title_full_unstemmed Small intestinal hemangioma: A case report
title_sort Small intestinal hemangioma: A case report
author Beraldo, Rodrigo Fedatto [UNESP]
author_facet Beraldo, Rodrigo Fedatto [UNESP]
Marcondes, Mariana Barros [UNESP]
da Silva, Daniel Luiz [UNESP]
Grillo, Thais Gagno [UNESP]
Baima, Julio Pinheiro [UNESP]
de Barros, Jaqueline Ribeiro [UNESP]
Quera, Rodrigo
Saad-Hossne, Rogério [UNESP]
Sassaki, Ligia Yukie [UNESP]
author_role author
author2 Marcondes, Mariana Barros [UNESP]
da Silva, Daniel Luiz [UNESP]
Grillo, Thais Gagno [UNESP]
Baima, Julio Pinheiro [UNESP]
de Barros, Jaqueline Ribeiro [UNESP]
Quera, Rodrigo
Saad-Hossne, Rogério [UNESP]
Sassaki, Ligia Yukie [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Clinica Universidad de los Andes
dc.contributor.author.fl_str_mv Beraldo, Rodrigo Fedatto [UNESP]
Marcondes, Mariana Barros [UNESP]
da Silva, Daniel Luiz [UNESP]
Grillo, Thais Gagno [UNESP]
Baima, Julio Pinheiro [UNESP]
de Barros, Jaqueline Ribeiro [UNESP]
Quera, Rodrigo
Saad-Hossne, Rogério [UNESP]
Sassaki, Ligia Yukie [UNESP]
dc.subject.por.fl_str_mv Crohn disease
Diagnosis, differential
Hemangioma, cavernous
Inflammatory bowel diseases
topic Crohn disease
Diagnosis, differential
Hemangioma, cavernous
Inflammatory bowel diseases
description Objective: Background: Case Report: Conclusions: Rare disease Hemangiomas are benign vascular neoplasms that originate from fast-growing embryonic mesodermal tissue and have a proliferation of endothelial cells, which manifest themselves in different forms, locations, and di-mensions. Owing to its rarity and similarity of symptoms with other chronic bowel diseases, intestinal hem-angioma is a differential diagnosis to be considered in patients presenting with symptoms such as abdominal pain and anemia. A 46-year-old woman with a history of diffuse abdominal pain and abdominal distension for 20 years presented with a worsening of symptoms in the past year. She denied weight loss or changes in bowel habits or stool appearance. Laboratory investigations showed microcytic hypochromic anemia. Colonoscopy results were nor-mal. A contrast-enhanced abdominal computed tomography scan showed focal and concentric thickening of the small intestine, measuring 8.3 cm, and associated with calcifications, intestinal dilation, mesenteric lymph node enlargement, and vascular dilatation and consistent with infectious granulomatous diseases such as intestinal tuberculosis, carcinoid tumor, Crohn’s disease, and lymphoma. The tuberculin skin test resulted in a strong 25-mm reaction. We suspected intestinal tuberculosis or expansive injury, and the patient underwent exploratory laparotomy with visualization of a 4-to 5-cm bluish/blackish vegetating lesion located 220 cm from the Treitz angle. The anatomopathological study showed cavernous hemangioma of the small intestine, measuring 2.6×1.0 cm. The patient recovered well and remained asymptomatic. Although rare, intestinal hemangioma should be on the list of differential diagnoses for chronic intestinal dis-eases, especially if there is anemia due to coexisting iron deficiency.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-25T10:56:26Z
2021-06-25T10:56:26Z
2021-01-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.12659/AJCR.929618
American Journal of Case Reports, v. 22, n. 1, 2021.
1941-5923
http://hdl.handle.net/11449/207512
10.12659/AJCR.929618
2-s2.0-85103108096
url http://dx.doi.org/10.12659/AJCR.929618
http://hdl.handle.net/11449/207512
identifier_str_mv American Journal of Case Reports, v. 22, n. 1, 2021.
1941-5923
10.12659/AJCR.929618
2-s2.0-85103108096
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv American Journal of Case Reports
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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