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(12): 516-521 [PMID: 30595805 DOI: 10.4251/wjgo.v10.i12.516]
Corresponding Author of This Article
Bin Shi, MD, Professor, Department of Gastroenterology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai 200003, China. shibin7305@smmu.edu.cn
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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/
World J Gastrointest Oncol. Dec 15, 2018; 10(12): 516-521 Published online Dec 15, 2018. doi: 10.4251/wjgo.v10.i12.516
Small intestinal hemangioma: Endoscopic or surgical intervention? A case report and review of literature
Ping-Fang Hu, Han Chen, Xiao-Hang Wang, Wei-Jun Wang, Ning Su, Bin Shi
Ping-Fang Hu, Xiao-Hang Wang, Bin Shi, 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
Wei-Jun Wang, Ning Su, Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
Author contributions: Hu PF and Chen H reviewed the literature, designed the case report presentation and wrote the manuscript; Wang XH participated in manuscript preparation, revision, patient investigation and treatment; Wang WJ and Su N participated in patient investigation and treatment and provided the gross and pathology images; Shi B designed the case report presentation and revised the manuscript.
Informed consent statement: The study participant provided informed written consent prior to study enrollment.
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 Non Commercial (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 to: Bin Shi, MD, Professor, Department of Gastroenterology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai 200003, China. shibin7305@smmu.edu.cn
Telephone: +86-21-81885346 Fax: +86-21-81886924
Received: September 18, 2018 Peer-review started: September 18, 2018 First decision: October 15, 2018 Revised: October 24, 2018 Accepted: November 7, 2018 Article in press: November 7, 2018 Published online: December 15, 2018 Processing time: 87 Days and 9.4 Hours
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.
Core tip: Hemangioma of the small intestine is a rare disease and mostly presents as gastrointestinal bleeding. With the advent of capsule endoscopy and balloon-assisted enteroscopy, the preoperative diagnosis of this disease has been considerably improved. Surgical resection is the conventional treatment modality. With the improvement of endoscopic therapeutic interventions, less invasive procedures are becoming possible. However, potential risks of endoscopic treatment include bleeding and intestinal perforation. Since intestinal hemangiomas originate from the submucosal layer and some of them are transmural, endoscopic treatment might sometimes result in uncontrolled bleeding or perforation.
