Portal de Periódicos da CAPES

Small intestinal hemangioma: Endoscopic or surgical intervention? A case report and review of literature

2018; Volume: 10; Issue: 12 Linguagem: Inglês

10.4251/wjgo.v10.i12.516

1948-5204

Ping‐Fang Hu, Han Chen, Xiaohang Wang, Weijun Wang, Ning Su, Bin Shi,

Gastrointestinal disorders and treatments

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.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.Endoscopic treatment of intestinal hemangioma is generally prudent and might be suitable for multiple, relatively small lesions.