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Nomura K, Shibuya T, Yuzawa A, Omori M, Odakura R, Koma M, Ito K, Kamba E, Maruyama T, Nomura O, Fukushima H, Murakami T, Ueda K, Ishikawa D, Hojo M, Nagahara A. Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review. J Clin Med 2024; 13:3415. [PMID: 38929942 PMCID: PMC11204303 DOI: 10.3390/jcm13123415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Revised: 06/03/2024] [Accepted: 06/08/2024] [Indexed: 06/28/2024] Open
Abstract
An 86-year-old man presented with anemia. He underwent abdominal contrast-enhanced computed tomography, gastroscopy, and colonoscopy without any bleeding detected. Small bowel capsule endoscopy (SBCE) revealed a reddish polypoid lesion with blood oozing into the jejunum. Antegrade double-balloon endoscopy (DBE) revealed a 5 mm sized protrusion into the jejunum. Endoscopic mucosal resection (EMR) was difficult; the lesion was snared and resected before energization. Clips prevented further bleeding and the lesion's position was marked with a tattoo. Histopathological examination of the lesion led to a diagnosis of capillary hemangioma. After 11 months, the patient was again anemic. A reddish polypoid lesion oozing blood near the tattoo was found by SBCE. Another antegrade DBE showed a 7 mm sized protrusion near the tattoo. The lesion was successfully treated by EMR. Histopathological examination revealed the residual recurrence of a small intestinal capillary hemangioma. The patient recovered from anemia after the EMR. Two months later, SBCE showed no findings around the tattoo. Hemangiomas account for 7-10% of benign small intestinal tumors; most are cavernous hemangiomas, and capillary hemangiomas are rare. We report a rare case of a recurring small intestinal capillary hemangioma detected by SBCE and treated using DBE. We also review the literature.
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Affiliation(s)
| | - Tomoyoshi Shibuya
- Department of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan; (K.N.); (A.Y.); (M.O.); (R.O.); (M.K.); (K.I.); (E.K.); (T.M.); (O.N.); (H.F.); (T.M.); (K.U.); (D.I.); (M.H.); (A.N.)
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Iwai N, Okuda T, Oka K, Hara T, Inada Y, Tsuji T, Komaki T, Itoh Y, Kagawa K. Tiny capillary hemangioma of the ileum as the cause of chronic anemia. JGH Open 2020; 4:1017-1018. [PMID: 33102781 PMCID: PMC7578303 DOI: 10.1002/jgh3.12378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/24/2020] [Accepted: 06/11/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Naoto Iwai
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
- Department of Molecular Gastroenterology and Hepatology Graduate School of Medical Science, Kyoto Prefectural University of Medicine Kyoto Japan
| | - Takashi Okuda
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
| | - Kohei Oka
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
| | - Tasuku Hara
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
| | - Yutaka Inada
- Department of Molecular Gastroenterology and Hepatology Graduate School of Medical Science, Kyoto Prefectural University of Medicine Kyoto Japan
| | - Toshifumi Tsuji
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
| | - Toshiyuki Komaki
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
| | - Yoshito Itoh
- Department of Molecular Gastroenterology and Hepatology Graduate School of Medical Science, Kyoto Prefectural University of Medicine Kyoto Japan
| | - Keizo Kagawa
- Department of Gastroenterology and Hepatology Fukuchiyama City Hospital Kyoto Japan
- Department of Molecular Gastroenterology and Hepatology Graduate School of Medical Science, Kyoto Prefectural University of Medicine Kyoto Japan
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Hayashi Y, Hosoe N, Takabayashi K, Kamiya KJL, Mutaguchi M, Miyanaga R, Hirata K, Fukuhara S, Mikami Y, Sujino T, Masugi Y, Naganuma M, Ogata H, Kanai T. Clinical and Endoscopic Characteristics of Pyogenic Granuloma in the Small Intestine: A Case Series with Literature Review. Intern Med 2020; 59:501-505. [PMID: 31611535 PMCID: PMC7056362 DOI: 10.2169/internalmedicine.3745-19] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Pyogenic granuloma (PG) generally appears in the skin or oral cavity, but rarely occurs in the small intestine, where it can cause bleeding. To date, only 35 cases of small intestinal PG have been reported in the English literature. We retrospectively collected information from the clinical records of seven cases of small intestinal PG that were managed in our hospital and summarized the characteristics. Further information on the clinical characteristics was obtained from the literature. Capsule endoscopy, useful for identifying the source of hemorrhage in obscure gastrointestinal bleeding, can detect PGs. Treatment can often be accomplished with endoscopic mucosal resection.
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Affiliation(s)
- Yukie Hayashi
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Naoki Hosoe
- Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Japan
| | - Kaoru Takabayashi
- Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Japan
| | - Kenji Jl Limpias Kamiya
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Makoto Mutaguchi
- Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Japan
| | - Ryoichi Miyanaga
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Kenro Hirata
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Seiichiro Fukuhara
- Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Japan
| | - Yohei Mikami
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Tomohisa Sujino
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Yohei Masugi
- Department of Pathology, Keio University School of Medicine, Japan
| | - Makoto Naganuma
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
| | - Haruhiko Ogata
- Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Japan
| | - Takanori Kanai
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Japan
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Wang B, Lou Z, Zheng W, Zhang J, Liu J. Capillary hemangioma in the ileum: Obscure small-bowel bleeding in an elderly person. TURKISH JOURNAL OF GASTROENTEROLOGY 2019; 29:520-521. [PMID: 30249572 DOI: 10.5152/tjg.2018.17612] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Bangting Wang
- Department of Digestive Diseases, Huashan Hospital, Fudan University
| | - Zhongguang Lou
- Department of Digestive Diseases, Huashan Hospital, Fudan University
| | - Wanwei Zheng
- Department of Digestive Diseases, Huashan Hospital, Fudan University
| | - Jun Zhang
- Department of Digestive Diseases, Huashan Hospital, Fudan University
| | - Jie Liu
- Department of Digestive Diseases, Huashan Hospital, Fudan University
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Hu PF, Chen H, Wang XH, Wang WJ, Su N, Shi B. Small intestinal hemangioma: Endoscopic or surgical intervention? A case report and review of literature. World J Gastrointest Oncol 2018; 10:516-521. [PMID: 30595805 PMCID: PMC6304305 DOI: 10.4251/wjgo.v10.i12.516] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Revised: 11/05/2018] [Accepted: 11/07/2018] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Hemangioma of the small intestine is a rare vascular malformation. Before the advent of capsule endoscopy (CE) and balloon-assisted enteroscopy (BAE), preoperative diagnosis of this disease was extremely difficult.
CASE SUMMARY In this study, we report a 24-year-old female with a large transmural small bowel cavernous hemangioma, which was diagnosed with CE and BAE preoperatively and removed successfully using minimally invasive surgery. Meanwhile, we perform a literature review of the studies about intestinal hemangiomas published after 2000. Literature review revealed that 91.9% of the lesions were diagnosed preoperatively by CE and/or BAE and 45.9% of them were treated endoscopically, which is a marked improvement compared to before 2000. Therefore, CE and BAE are useful modalities for the preoperative diagnosis of hemangiomas in the small intestine.
CONCLUSION Endoscopic treatment of intestinal hemangioma is generally prudent and might be suitable for multiple, relatively small lesions.
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Affiliation(s)
- Ping-Fang Hu
- Department of Gastroenterology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Han Chen
- Department of General Surgery, Hongkou Branch of Changhai Hospital, Second Military Medical University, Shanghai 200081, China
| | - Xiao-Hang Wang
- Department of Gastroenterology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Wei-Jun Wang
- Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Ning Su
- Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Bin Shi
- Department of Gastroenterology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
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Pera M, Márquez L, Dedeu JM, Sánchez J, Garcia M, Ramón JM, Puigvehí M. Solitary cavernous hemangioma of the small intestine as the cause of long-standing iron deficiency anemia. J Gastrointest Surg 2012; 16:2288-90. [PMID: 22875598 DOI: 10.1007/s11605-012-1991-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Accepted: 07/25/2012] [Indexed: 01/31/2023]
Affiliation(s)
- Manuel Pera
- Section of Gastrointestinal Surgery, Hospital Universitario del Mar, Barcelona, Spain.
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Shibuya T, Osada T, Mitomi H, Takeda T, Nomura O, Nakayama H, Hidaka Y, Mori H, Beppu K, Sakamoto N, Nagahara A, Otaka M, Ogihara T, Yao T, Watanabe S. Jejunal capillary hemangioma treated by using double-balloon endoscopy (with video). Gastrointest Endosc 2010; 72:660-1. [PMID: 20546731 DOI: 10.1016/j.gie.2009.12.051] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2009] [Accepted: 12/31/2009] [Indexed: 02/08/2023]
Affiliation(s)
- Tomoyoshi Shibuya
- Department of Gastroenterology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan
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Lee MH, Yen HH, Chen YY, Chen CJ, Soon MS. Combined capillary hemangioma and angiodysplasia of the ileum: an unusual cause of obscure gastrointestinal bleeding with preoperative localization by double-balloon endoscopy. Am J Surg 2010; 200:e30-2. [DOI: 10.1016/j.amjsurg.2009.11.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2009] [Revised: 11/13/2009] [Accepted: 11/13/2009] [Indexed: 12/22/2022]
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Bedioui H, Fteriche F, Noomen R, Daghfous A, Nouira K, Bensafta Z. Angiome iléal géant : une cause rare d’occlusion intestinale aiguë. Presse Med 2009; 38:848-50. [DOI: 10.1016/j.lpm.2008.07.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2008] [Revised: 07/04/2008] [Accepted: 07/15/2008] [Indexed: 11/16/2022] Open
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