Small bowel hemangioma causing perforation

Abstract

Background: Benign vascular tumors that can be found anywhere in the body are defined as hemangiomas The most common clinical manifestation is gastrointestinal bleeding (GIB). Other possible signs and symptoms could be Iron deficiency anemia, intestinal obstruction, abdominal pain, intramural hematoma, perforation, platelet sequestration, intussusception, or perforation. The main diagnostic methods are Computed tomography (CT) and contrast-enhanced computed tomography (CECT), and capsule endoscopy is helpful too. The therapeutic plan depends on the disease development and the condition of the patient, but, surgical resection is the choice for most patients. Case presentation: A 6-year-old girl with the chief complaint of acute abdominal pain that was accompanied by loss of appetite, nausea, and vomiting was admitted. There was no sign of GIB. The first diagnosis of the patient was perforation of the intestinal wall. In the laparotomy operation, a perforation was seen and resection and anastomosis were done. The pathological studies revealed the signs of hemorrhage of hemangioma and so hemorrhagic necrosis and perforation due to it. Conclusion: Although small intestinal hemangiomas are rare and, in their complication, perforation is unusual, they should be considered in the differential diagnosis of acute abdominal pain.

Keywords

• Hemangiomas
• Intestinal perforation
• Small intestine hemangioma