Yao L, Li LW, Yu B, Meng XD, Liu SQ, Xie LH, Wei RF, Liang J, Ruan HQ, Zou J, Huang JA. Cavernous hemangioma of the ileum in a young man: A case report and review of literature. World J Clin Cases 2022; 10(28): 10146-10154 [PMID: 36246816 DOI: 10.12998/wjcc.v10.i28.10146]
Corresponding Author of This Article
Jie-An Huang, MD, Doctor, Department of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, No. 166 University East Road, Xinxu District, Nanning 530005, Guangxi Zhuang Autonomous Region, China.hjagxmu@163.com
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 Clin Cases. Oct 6, 2022; 10(28): 10146-10154 Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10146
Cavernous hemangioma of the ileum in a young man: A case report and review of literature
Li Yao, Li-Wei Li, Bing Yu, Xiao-Dan Meng, Shi-Quan Liu, Li-Hua Xie, Rong-Fen Wei, Jie Liang, Hua-Qiang Ruan, Jun Zou, Jie-An Huang
Li Yao, Li-Wei Li, Bing Yu, Xiao-Dan Meng, Shi-Quan Liu, Li-Hua Xie, Rong-Fen Wei, Jie Liang, Hua-Qiang Ruan, Jun Zou, Jie-An Huang, Department of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530005, Guangxi Zhuang Autonomous Region, China
Author contributions: Yao L designed the report, reviewed the literature, and wrote the paper; Li LW reviewed the literature and wrote the manuscript. Yu B analyzed and interpreted the imaging findings; Meng XD, Liu SQ, Wei RF, Xie LH, and Liang J assisted in the diagnosis and treatment of the case; Ruan HQ and Zou J assisted in the revision of the manuscript; Huang JA was the guarantor and corresponding author; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written 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 it.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie-An Huang, MD, Doctor, Department of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, No. 166 University East Road, Xinxu District, Nanning 530005, Guangxi Zhuang Autonomous Region, China.hjagxmu@163.com
Received: February 19, 2022 Peer-review started: February 19, 2022 First decision: April 17, 2022 Revised: April 29, 2022 Accepted: August 22, 2022 Article in press: August 22, 2022 Published online: October 6, 2022
Abstract
BACKGROUND
Small intestinal cavernous hemangioma is a rare disease, especially in the ileum. It is difficult to accurately diagnose due to its hidden location and nonspecific clinical symptoms. Here, we reported a case of ileal cavernous hemangioma with chronic hemorrhage in a 20-year-old man and review the literature to gain a better understanding of this disease.
CASE SUMMARY
The patient complained of intermittent melena and hematochezia for > 3 mo. The lowest hemoglobin level revealed by laboratory testing was 3.4 g/dL (normal range: 12-16 g/dL). However, the gastroscopy, colonoscopy and peroral double-balloon enteroscopy (DBE) showed no signs of bleeding. The transanal DBE detected a lesion at about 340 cm proximal to the ileocecal valve. Thus, we performed an exploratory laparoscopy and the lesion was resected. After the operation, the patient had no melena. Finally, the pathological examination identified the neoplasm as an ileal cavernous hemangioma, thereby resulting in gastrointestinal hemorrhage.
CONCLUSION
This report might improve the diagnosis and treatment of ileal cavernous hemangioma.
Core Tip: Small intestinal hemangiomas are rare benign tumors, and ileal cavernous hemangiomas are even rarer. Here, we reported a 20-year-old man with intermittent melena and hematochezia for > 3 mo. We successively performed colonoscopy, gastroscopy, contrast-enhanced computed tomography, transoral double-balloon endoscopy, and transanal double-balloon endoscopy, and finally found a lesion in the ileum. The lesion was resected by laparoscopy. Thus, to further improve the diagnosis and treatment of this disease, we collected cases of ileal cavernous hemangioma in the past 20 years and summarized its manifestations, complications, imaging features, endoscopic features, and therapeutic strategies.
