A Case of Capillary Hemangioma of the Small Intestine Preoperatively Diagnosed for the Localization

Tomitarou Ohshima, Yasuhide Shimada, Nobuya Kusunoki, Yoshiteru Iwatani, Naoyuki Miyazaki and Souhei Kitazawa^*

Department of Surgery, Hyogo Prefectural Kaibara Hospital
^*Second Department of Pathology, Kobe University School of Medicine

We report a very rare case of capillary hemangioma of the small intestine. A 70-year-old woman admitted for severe anemia was found at intestinography to have bleeding through the ileus tube, even though no focal lesion was seen in examinations such as upper gastrointestinal endoscopy, barium enema, abdominal computed tomography, and ^99mTc-RBC scintigraphy. Total colonoscopy showed a huge blood pool in the cecum through the terminal ileum, with bleeding arising from the small intestine. In intestinography through the ileus tube, we found a round shadow defect about 1.5 cm in diameter in the middle of the small intestine. Since the lesion was considered the focus of bleeding, we conducted open laparotomy. A red soft mass was located in the serosa attached to the mesentery. We partially resected the small intestine, including the mass. The resected specimen showed an elastic soft 15×15×8 mm tumor. Histological examination showed nonmalignant capillary hemangioma of the small intestine. The postoperative course was uneventful and the patient was discharged on postoperative day 21.

Key words
capillary hemangioma, small intestine

Reprint requests
Tomitarou Ohshima Department of Surgery, Hyogo Prefectural kaibara Hospital 5201-1 Kaibara, Kaibara-cho, Hikami-gun, Hyogo, 669-3395 JAPAN

Accepted
September 25, 2002

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