Small intestinal hemangioma: A case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
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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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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1808128109384302592 |