Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 14, 2020; 26(14): 1674-1682
Published online Apr 14, 2020. doi: 10.3748/wjg.v26.i14.1674
Small bowel racemose hemangioma complicated with obstruction and chronic anemia: A case report and review of literature
Ji-Xin Fu, Ya-Nan Zou, Zhi-Hao Han, Hao Yu, Xin-Jian Wang
Ji-Xin Fu, Hao Yu, Xin-Jian Wang, Department of Gastrointestinal Surgery, Weihai Central Hospital, Weihai 264200, Shandong Province, China
Ya-Nan Zou, Department of Anesthesiology, Weihai Central Hospital, Weihai 264200, Shandong Province, China
Zhi-Hao Han, Department of Radiology, Weihai Central Hospital, Weihai 264200, Shandong Province, China
Author contributions: Fu JX designed the report, reviewed the literature, and wrote the paper; Zou YN, Yu H, and Wang XJ performed the surgery; Han ZH analyzed and interpreted the imaging findings; Fu JX and Yu H collected the patient’s clinical data; Fu JX and Wang XJ analyzed the data and revised the paper; all authors have read and approved the final version of this manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xin-Jian Wang, MPhil, Chief Doctor, Director, Professor, Surgeon, Department of Gastrointestinal Surgery, Weihai Central Hospital, No. 3, Mishandong Road Xi, Wendeng District, Weihai 264200, Shandong Province, China. wdwxj@126.com
Received: December 21, 2019
Peer-review started: November 11, 2019
First decision: January 17, 2020
Revised: March 10, 2020
Accepted: March 14, 2020
Article in press: March 14, 2020
Published online: April 14, 2020
Processing time: 115 Days and 10.1 Hours
Abstract
BACKGROUND

Gastrointestinal hemangiomas are rare benign tumors. According to the size of the affected vessels, hemangiomas are histologically classified into cavernous, capillary, or mixed-type tumors, with the cavernous type being the most common and racemose hemangiomas being very rare in the clinic. Melena of uncertain origin and anemia are the main clinical manifestations, and other presentations are rare. Due to the rarity of gastrointestinal hemangiomas and lack of specific manifestations and diagnostic methods, preoperative diagnoses are often delayed or incorrect.

CASE SUMMARY

We report a 5-year-old girl who presented with abdominal pain, nausea, and vomiting for a duration of 10 h. The laboratory studies showed prominent anemia. Computed tomography and contrast-enhanced computed tomography of the abdomen revealed a small bowel obstruction caused by a giant abdominal mass. Segmental resection of the ileal lesions was performed through surgery, and the final pathology results revealed a diagnosis of racemose hemangioma complicated by a small bowel obstruction and simultaneous chronic anemia.

CONCLUSION

The current report will increase the understanding of the diagnosis and treatment of gastrointestinal hemangiomas and provide a review of the related literature.

Keywords: Gastrointestinal hemangioma; Racemose hemangioma; Small bowel obstruction; Chronic anemia; Computed tomography; Case report

Core tip: Gastrointestinal hemangiomas are rare benign tumors, and small bowel racemose hemangiomas complicated by obstructions and chronic anemia are even more rare clinically. Here, we report a 5-year-old girl who presented with abdominal pain, nausea, and vomiting for a duration of 10 h. The preoperative examination revealed an acute obstruction and anemia. A segmental resection of the ileum was performed, and the final pathology revealed a small bowel racemose hemangioma complicated by an obstruction and simultaneous chronic anemia. To improve the diagnosis and treatment of gastrointestinal hemangiomas, we present this unusual report and review some of the related literature.