Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report
Duodenal cavernous haemangiomas are rare, benign disorders, and massive gastrointestinal (GI) bleeding is a rare clinical condition. The present case report describes a 50-year-old male patient who presented with severe, ongoing haematochezia. A peripheral blood smear at the time of admission showed...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-09-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605211010091 |
| _version_ | 1818691928010522624 |
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| author | Jinzhong Duanmu Yahang Liang Zhixiang Huang Yongming Tan Taiyuan Li Xiong Lei |
| author_facet | Jinzhong Duanmu Yahang Liang Zhixiang Huang Yongming Tan Taiyuan Li Xiong Lei |
| author_sort | Jinzhong Duanmu |
| collection | DOAJ |
| description | Duodenal cavernous haemangiomas are rare, benign disorders, and massive gastrointestinal (GI) bleeding is a rare clinical condition. The present case report describes a 50-year-old male patient who presented with severe, ongoing haematochezia. A peripheral blood smear at the time of admission showed significant anaemia, and haemoglobin level was 52 g/l (normal range, 120–175 g/l). Albumin level was also low at 28 g/l (normal range, 40–55 g/l). Standard computed tomography (CT) showed mural thickening and relative lumen stenosis in the ascending (fourth) portion of the duodenum. Contrast-enhanced CT using hypotonic solution revealed the lesions to be hypervascular haemangiomas. Laparotomy and segmental duodenum resection were performed, and the first jejunal limb was anastomosed using a side-to-end technique. Histopathological examination confirmed the diagnosis of cavernous haemangioma. The patient showed marked improvement during follow-up. The present case findings emphasize that duodenal haemangioma is possible without a history of chronic anaemia, and should remain a consideration in differential diagnosis for patients presenting with massive GI bleeding. CT is useful for preoperative diagnosis of massive bleeding, and surgery with segmental resection is usually curative. |
| first_indexed | 2024-12-17T12:49:41Z |
| format | Article |
| id | doaj.art-f5d0f683de414139a86c6760cca15714 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-17T12:49:41Z |
| publishDate | 2021-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-f5d0f683de414139a86c6760cca157142022-12-21T21:47:39ZengSAGE PublishingJournal of International Medical Research1473-23002021-09-014910.1177/03000605211010091Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case reportJinzhong DuanmuYahang LiangZhixiang HuangYongming TanTaiyuan LiXiong LeiDuodenal cavernous haemangiomas are rare, benign disorders, and massive gastrointestinal (GI) bleeding is a rare clinical condition. The present case report describes a 50-year-old male patient who presented with severe, ongoing haematochezia. A peripheral blood smear at the time of admission showed significant anaemia, and haemoglobin level was 52 g/l (normal range, 120–175 g/l). Albumin level was also low at 28 g/l (normal range, 40–55 g/l). Standard computed tomography (CT) showed mural thickening and relative lumen stenosis in the ascending (fourth) portion of the duodenum. Contrast-enhanced CT using hypotonic solution revealed the lesions to be hypervascular haemangiomas. Laparotomy and segmental duodenum resection were performed, and the first jejunal limb was anastomosed using a side-to-end technique. Histopathological examination confirmed the diagnosis of cavernous haemangioma. The patient showed marked improvement during follow-up. The present case findings emphasize that duodenal haemangioma is possible without a history of chronic anaemia, and should remain a consideration in differential diagnosis for patients presenting with massive GI bleeding. CT is useful for preoperative diagnosis of massive bleeding, and surgery with segmental resection is usually curative.https://doi.org/10.1177/03000605211010091 |
| spellingShingle | Jinzhong Duanmu Yahang Liang Zhixiang Huang Yongming Tan Taiyuan Li Xiong Lei Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report Journal of International Medical Research |
| title | Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report |
| title_full | Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report |
| title_fullStr | Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report |
| title_full_unstemmed | Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report |
| title_short | Cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion: a case report |
| title_sort | cavernous haemangioma of the duodenum with acute massive bleeding in the ascending portion a case report |
| url | https://doi.org/10.1177/03000605211010091 |
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