Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2020; 8(1): 157-167
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.157
Mechanical intestinal obstruction due to isolated diffuse venous malformations in the gastrointestinal tract: A case report and review of literature
Han-Bo Li, Jing-Fang Lv, Ning Lu, Zong-Shun Lv
Han-Bo Li, Jing-Fang Lv, Ning Lu, Department of General Surgery, Tianjin General Surgery Institute, Tianjin Medical University General Hospital, Tianjin 300052, China
Han-Bo Li, Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China
Zong-Shun Lv, Department of Gastroenterology, Tianjin Medical University General Hospital, Tianjin 300052, China
Author contributions: Li HB and Lv JF collected and analyzed the patient’s clinical data; Li HB wrote the part of the case report; Lv JF wrote the part of literature review; Lu N and Lv ZS provided professional advice and revised the manuscript; Li HB and Lv JF contributed equally to the manuscript.
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 conflicts of interest.
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 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/
Corresponding author: Jing-Fang Lv, MD, Surgeon, Department of General Surgery, Tianjin General Surgery Institute, Tianjin General Hospital of Tianjin Medical University, No. 154 Anshan Road, Tianjin 300052, China. tjlvjingfang@163.com
Received: October 4, 2019
Peer-review started: October 4, 2019
First decision: October 23, 2019
Revised: October 31, 2019
Accepted: November 15, 2019
Article in press: November 15, 2019
Published online: January 6, 2020
Processing time: 94 Days and 15 Hours
Core Tip

Core tip: Few cases of gastrointestinal venous malformations (GIVMs) responsible for intestinal obstruction in adults have been described. We present a rare case of isolated GIVMs involving the colorectum in a patient with symptoms of intestinal obstruction. Digital rectal examination, enhanced computed tomography, colonoscopy, endoscopic ultrasonography, barium contrast examination and selective mesenteric angiography contributed to a precise diagnosis. Laparoscopic subtotal proctocolectomy, pull-through transection and coloanal anastomosis were performed. The patient did not develop any serious complications during the follow-up period. We have also summarized the information obtained from 152 cases reported to date, which is important in assisting physicians with the diagnosis and treatment.