Copyright
©The Author(s) 2020.
World J Gastroenterol. Apr 14, 2020; 26(14): 1674-1682
Published online Apr 14, 2020. doi: 10.3748/wjg.v26.i14.1674
Published online Apr 14, 2020. doi: 10.3748/wjg.v26.i14.1674
Ref. | Age (yr) | Sex | Presentation | Preoperative diagnosis study | Hemangioma size (cm) | Location | Histology | Treatment |
Attash et al[9] | 3 | M | Hematemesis, anemia | EGD, CECT | 17.6 × 13.2 | Stomach | Cavernous | Resembling sleeve gastrectomy |
Peng et al[10] | 47 | M | Fatigue, dizziness, melena | VCE, CECT | 50 × 15 | Ileum | Cavernous | Partial small bowel resection |
Ocampo et al[11] | 29 | M | Anemia | Abdominal X-ray, CECT | 10 | Ileum | ND | Segmental small bowel resection |
Kaya et al[12] | 2 d | F | Melena | EGD | ND | Stomach | ND | Propranolol |
Fernandes et al[13] | 56 | F | Hematochezia, dizziness | VCE, VECT | 14 | Ileum | Cavernous | Laparotomy and vascular tumor resection |
Durer et al[14] | 66 | M | Anemia | VCE, DBE | 2.5 | Jejunum | Cavernous | Surgery |
Amati et al[15] | 20 | F | Abdominal distention, pain | CT | 28 × 26 × 12 | Sigmoid colon | Cavernous | Resection of the sigmoid |
Wang et al[16] | 73 | M | Melena, weakness, dizziness | VCE, DBE | 2 × 1 | Ileum | Capillary | Laparotomy |
Andrade et al[17] | 44 | F | Melena | Colonoscopy, MRI | 7.5 × 3.5 | Rectal | ND | Managed conservatively |
Li et al[18] | 68 | M | Epigastric discomfort | EUS, CECT | 4 × 2 | Stomach | Hemolymphangioma | Endoscopic ultrasonogra-phy treatment |
Iwaya et al[19] | 70 | M | Anemia, melena | VCE, DBE | 2 × 1.7 × 1.2 | Jejunum | Hemangiolymphangioma | Laparoscopic small bowel resection |
Vitor et al[20] | 18 | M | Melena | Colonoscopy, MRI | ND | Rectum | Cavernous | Iron supplementat-ion |
Parker et al[21] | 32 | M | Abdominal pain, anorexia, constipation | CT biopsy, MRI | 14 × 7 × 7 | Ileum | Cavernous | Laparotomy |
Ganesananthan et al[22] | 65 | M | Rectal bleeding | Colonoscopy, CT | ND | Left colon and rectum | Cavernous | Managed Conservatively |
Takase et al[23] | 62 | M | Anemia, melena | VCE, DBE | 1.5 | Jejunum | Cavernous | Laparoscopic enterectomy |
52 | M | Anemia | CECT, VCE, DBE | 1 | Ileum | Cavernous | Laparoscopic enterectomy | |
Kuo et al[24] | 20 | F | Lower abdominal pain, postprandial bloating | CECT | 5.6 × 4.6 × 1.5 | Jejunum | Cavernous | Segmental resection |
Zhang et al[25] | 44 | M | Melena | VCE | ND | Jejunum | Cavernous | Laparotomy with segmental resection |
Moein Jahromi et al[26] | 75 | F | Anemia, melena | VCE, DBE | 2.7 × 1.7 | Jejunum | Capillary | Laparoscopic partial small bowel resection |
Fu et al[27] | 54 | F | Painless rectal bleeding | Colonoscopy, CT, MRI | ND | Rectum | Cavernous | 3-D laparoscopica-lly assisted surgery |
22 | F | Recurrent intermittent rectal bleeding | Colonoscopy, CT | ND | Rectum | Cavernous | 3-D laparoscopica-lly assisted surgery | |
Liao et al[28] | 11 | F | Hematochezia, palpitation, cold sweat | Angiography | 1.2 × 1.0 | Jejunum | Capillary | Laparoscopic segmental resection |
Hu et al[29] | 31 | F | Melena, dizziness | Angiography | 0.3 × 0.3 | Jejunum | Racemose hemangioma | Laparoscopic segmental resection |
Lian et al[30] | 57 | M | Abdominal pain with anus exhausting and defecating | CT | 16 × 12 × 8 | Jejunum | Cavernous | Reduction of the volvulus and segmental resection |
Li et al[31] | 54 | F | Hematemesis, melena, dizziness | EGD, CECT | 2 × 2 × 2 | Stomach | Racemose hemangioma | Local excision of lesion |
No. of cases | 25 | ||
Age | 42.92 ± 22.75 (0-75) | Preoperative diagnosis study | |
Sex | CT or CECT | 14 (56%) | |
Male | 14 (54%) | Colonoscopy, EGD, or EUS | 9 (36%) |
Female | 11 (44%) | VCE | 9 (36%) |
Location | DBE | 6 (24%) | |
Jejunum | 9 (36%) | MRI | 4 (16%) |
Ileum | 6 (24%) | Angiography | 2 (8%) |
Colorectum | 6 (24%) | Abdominal X-ray | 1 (4%) |
Stomach | 4 (16%) | Histology | |
Size | 7.44 ± 8.601 (0.3-32.5) | Cavernous hemangioma | 15 (68.2%) |
Main symptom | Capillary hemangioma | 3 (13.7%) | |
Melena | 11 (44%) | Racemose hemangioma | 2 (9.1%) |
Anemia | 7 (28%) | Hemolymphangioma | 1 (4.5%) |
Dizziness | 5 (20%) | Hemangiolymphangioma | 1 (4.5%) |
Abdominal distention or pain | 5 (20%) | Treatment | |
Rectal bleeding or Hematochezia | 5 (20%) | Operation | 20 (80%) |
Hematemesis | 2 (8%) | Endoscopy | 1 (4%) |
Fatigue or weakness | 2 (8%) | Medication (propranolol) | 1 (4%) |
Anorexia or postprandial bloating | 2 (8%) | Iron supplementation | 1 (4%) |
Palpitations or cold sweat | 1 (4%) | None | 2 (8%) |
Anus exhausting and defecating | 1 (4%) |
- Citation: Fu JX, Zou YN, Han ZH, Yu H, Wang XJ. Small bowel racemose hemangioma complicated with obstruction and chronic anemia: A case report and review of literature. World J Gastroenterol 2020; 26(14): 1674-1682
- URL: https://www.wjgnet.com/1007-9327/full/v26/i14/1674.htm
- DOI: https://dx.doi.org/10.3748/wjg.v26.i14.1674