期刊论文详细信息
BMC Surgery
Giant mesenteric hemangioma of cavernous and venous mixed type: a rare case report
Hua Jin1  Jing Li2  Guang-Zhi Yang2 
[1] Department of Pathology, The 263rd Hospital of PLA, Beijing 101149, China;Department of Pathology, The General Hospital of Beijing Military Command, Beijing 100700, China
关键词: Ileus;    Cavernous and venous mixed type;    Hemangioma;    Mesentery;   
Others  :  1123302
DOI  :  10.1186/1471-2482-13-50
 received in 2012-10-19, accepted in 2013-10-23,  发布年份 2013
PDF
【 摘 要 】

Background

Although vascular tumours are one of the most common soft tissue neoplasms, those occurring in the gastrointestinal system are rare and cases involving mesentery are even further rare. Herein, we reported a rare case of giant hemangioma in mesentery of the small bowel.

Case presentation

A 5-year-old girl was admitted to the emergency room with abdominal pain and vomit for two days. Ultrasonography and computed tomography showed a giant solid-cystic abdominal mass, preferring diagnosis of teratoma. A large neoplasm in the mesentery of the small bowel was found in the surgical exploration, which was then resected with the partial bowel. A brown honeycomb mass in size 16 cm×8 cm×5 cm was observed to adhere to the small bowel, and diagnosed as hemangioma of cavernous and venous mixed type in final pathology.

Conclusion

The mesenteric hemangioma is extremely rare and the variable imaging tests are non-specific, thus the diagnosis is rarely made before surgery and usually established by histopathological investigation after surgery. So the mesenteric hemangioma is supposed to be differentiated in abdominal mass, either in adults or children. Complete surgical resection is the optimal treatment.

【 授权许可】

   
2013 Yang et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150216030231898.pdf 2060KB PDF download
Figure 4. 146KB Image download
Figure 3. 140KB Image download
Figure 2. 45KB Image download
Figure 1. 47KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】
  • [1]Weiss SW, Goldblum JR: Benign tumors and tumor-like lesions of blood vessels. In Enzinger and Weiss’s soft tissue tumors. Volume 22. 5th edition. Edited by Weiss SW, Goldblum JR. Philadelphia: Mosby Elservier; 2008::633-680.
  • [2]Boyle L, Lack EE: Solitary cavernous hemangioma of small intestine. Case report and literature review. Arch Pathol Med Lab 1993, 117:939-941.
  • [3]Ruiz AR Jr, Ginsberg AL: Giant mesenteric hemangioma with small intestinal involvement: an unusual cause of recurrent gastrointestinal bleed and review of gastrointestinal hemangiomas. Dig Dis Sci 1999, 44:2545-2551.
  • [4]Parker WT, Harper JG, Rivera DE, Holsten SB, Bowden T: Mesenteric cavernous hemangioma involving small bowel and appendix: a rare presentation of a vascular tumor. Am Surg 2009, 75:811-816.
  • [5]Kazimi M, Ulas M, Ibis C, Unver M, Ozsan N, Yilmaz F, Ersoz G, Zeytunlu M, Kilic M, Coker A: A rare cause of recurrent gastrointestinal bleeding: mesenteric hemangioma. World J Emerg Surg 2009, 29:5.
  • [6]Ahmadnia H, Khooei A, Mansourian E: Mesenteric cavernous hemangioma in a cryptorchid man. Saudi J Kidney Dis Transpl 2011, 22:812-814.
  • [7]Abrahamson J, Shandling B: Intestinal hemangiomata in childhood and a syndrome for diagnosis: a collective review. J Pediatr Surg 1973, 8:487-495.
  • [8]Corsi A, Ingegnoli A, Abelli P, De Chiara F, Mancini C, Cavestro GM, Fanigliulo L, Di Mario F, Franzi A, Zompatori M: Imaging of a small bowel cavernous hemangioma: report of a case with emphasis on the use of computed tomography and enteroclysis. Acta Biomed 2007, 78:139-143.
  • [9]Law WL: Cavernous hemangioma: uncommon cause of obscure gastrointestinal bleeding. J Am Coll Surg 2007, 205:511.
  • [10]Quentin V, Lermite E, Lebigot J, Marinnes MZ, Arnaud JP, Boyer J: Small bowel cavernous hemangioma: wireless capsule endoscopy diagnosis of a surgical case. Gastrointest Endosc 2007, 65:550-552.
  • [11]Takamura M, Murakami T, Kurachi H, Kim T, Enomoto T, Narumi Y, Nakamura H: MR imaging of mesenteric hemangioma: a case report. Radiat Med 2000, 18:67-69.
  • [12]Morgan DR, Mylankal K, el Barghouti N, Dixon MF: Small bowel haemangioma with local lymph node involvement presenting as intussusception. J Clin Pathol 2000, 53:552-553.
  • [13]Iwata Y, Shiomi S, Otso R, Sasaki N, Hara J, Nakamura S, Nishiguchi S, Ochi H: A case of cavernous hemangioma of the small intestine diagnosed by scintigraphy with Tc-99m-labeled red blood cells. Ann Nucl Med 2000, 14:373-376.
  • [14]Wang HT, Gao XH, Fu CG, Wang L, Meng RG, Liu LJ: Diagnosis and treatment of diffuse cavernous hemangioma of the rectum: report of 17 cases. World J Surg 2010, 34:2477-2486.
  • [15]Lyon DT, Mantia AG: Large-bowel hemangiomas. Dis Colon Rectum 1984, 27:404-414.
  文献评价指标  
  下载次数:54次 浏览次数:44次