Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia.
- Author:
Soo Jin BAE
1
;
Geol HWANG
;
Hyun Sik KANG
;
Hyun Joo SONG
;
Weon Young CHANG
;
Young Hee MAENG
;
Ki Soo KANG
Author Information
- Publication Type:Case Report
- Keywords: Anemia, iron-deficiency; Hemangioma, cavernous; Capsule endoscopy; Child
- MeSH: Adolescent; Ambulatory Care Facilities; Anemia, Iron-Deficiency*; Capsule Endoscopy*; Child*; Colonoscopy; Diagnosis; Dizziness; Fatigue; Gastrointestinal Tract; Hemangioma; Hemangioma, Cavernous*; Hematemesis; Hemorrhage; Humans; Iron; Jejunum; Male
- From:Clinical Endoscopy 2015;48(4):340-344
- CountryRepublic of Korea
- Language:English
- Abstract: Cavernous hemangiomas of the gastrointestinal tract are extremely rare. In particular, the diagnosis of small bowel hemangiomas is very difficult in children. A 13-year-old boy presented at the outpatient clinic with dizziness and fatigue. The patient was previously diagnosed with iron-deficiency anemia at 3 years of age and had been treated with iron supplements continuously and pure red cell transfusion intermittently. Laboratory tests indicated that the patient currently had iron-deficiency anemia. There was no evidence of gross bleeding, such as hematemesis or bloody stool. Laboratory findings indicated no bleeding tendency. Gastroduodenoscopy and colonoscopy results were negative. To obtain a definitive diagnosis, the patient underwent capsule endoscopy. A purplish stalked mass was found in the jejunum, and the mass was excised successfully. We report of a 13-year-old boy who presented with severe and recurrent iron-deficiency anemia caused by a cavernous hemangioma in the small bowel without symptoms of gastrointestinal bleeding.
