A Case of Giant Mesenteric Hemangioma with involvement of the mucosa of duodenum and pancreatic parenchyme.
- Author:
Su Chan BAE
1
;
Kwan Woo KIM
;
Min Woong KIM
;
Ji Hoon YOON
;
Hwa Mi KANG
;
Hee Ug PARK
;
Hye Sook KIM
Author Information
1. Department of Internal Medicine, Pathology, Maryknoll Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Hemangioma;
Gastrointestinal hemorrhage;
Mesentery;
Small intestine
- MeSH:
Ampulla of Vater;
Diagnosis;
Duodenum*;
Gastrointestinal Hemorrhage;
Hemangioma*;
Hemorrhage;
Humans;
Intestine, Small;
Jejunum;
Melena;
Mesenteric Artery, Inferior;
Mesentery;
Middle Aged;
Mucous Membrane*
- From:Korean Journal of Medicine
2004;67(Suppl 3):S708-S712
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A giant mesenteric hemangioma with small intestinal involvement was rarely found as the cause of recurrent gastrointestinal bleeding. Enteric hemangiomas account for 7~10% of all benign tumors of the small intestine and the jejunum is the most common location. A 52-year-old man was admitted with recurrent melena for 4 years. Submucosal tumor like elevated lesion was found at just distal Ampulla of Vater. This lesion was seen woozing type bleeding. For evaluation of bleeding focus, mesenteric angiogram was done. A mesenteric angiogram revealed normal gastro-duodenal, superior and inferior mesenteric arteries. Whole abdominal computed tomography revealed low- density lesion at distal to duodenal 2nd portion. To prevent further recurrent bleeding, Whipple's operation was done. The histologic diagnosis of the lesion was a giant mesenteric hemangioma of mesentery with involvement of the mucosa of duodenum and pancreatic parenchyme.
