Korean J Gastrointest Endosc.  2004 Jul;29(1):27-31.

Diffuse Intestinal Hemangiomatosis Diagnosed by Endoscopy in a Patient with Anemia

Affiliations
  • 1Department of Internal Medicine, Saint Benedict Hospital
  • 2Dong-Eui Medical Center, Busan, Korea. hyun2939@hanmail.net

Abstract

Gastrointestinal hemangiomatosis is a rare benign vascular lesion, which can produce massive or persistent blood loss. Numerous lesions, usually of the cavernous type, involve stomach, small bowel, and colon. The diagnosis of hemangiomatosis is difficult. It is diagnosed usually by endoscopic study or barium enema for bleeding or anemia evaluation in childhood. A 17-year-old female was admitted to our hospital with anemia and dizziness for several months. She was diagnosed as diffuse intestinal hemangiomatosis by gastroduodenoscopy and colonoscopy. Gastroduodenosocpic findings showed multiple, small, mound-like, reddish-purple hemangiomas on the lower body, fundus and prepyloric area of the stomach. Colonoscopic findings showed similar lesions on the ascending and descending colon. The polypoid lesion on the ascending colon was ligated by detachable snare due to bleeding. No other hemangioma was detected by ultrasonography, abdominal angiography or small bowel series. We report a case of diffuse hemangiomatosis, largely distrubuted in the stomach and colon, but without involvement of skin or other solid organ. The bleeding hemangioma on the ascending colon was treated by endoscopic ligation, and the anemia of the patient was improved.

Keyword

Diffuse intestinal hamangiomatosis; Bleeding; Anemia

MeSH Terms

Adolescent
Anemia*
Angiography
Barium
Colon
Colon, Ascending
Colon, Descending
Colonoscopy
Diagnosis
Dizziness
Endoscopy*
Enema
Female
Hemangioma
Hemorrhage
Humans
Ligation
Skin
SNARE Proteins
Stomach
Ultrasonography
Barium
SNARE Proteins
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