Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia
Clinical Endoscopy 2015³â 48±Ç 4È£ p.340 ~ p.344
¹è¼öÁø(Bae Soo-Jin) - Jeju National University College of Medicine Department of Pediatrics
(Hwang Geol) - Jeju National University College of Medicine Department of Pediatrics
°Çö½Ä(Kang Hyun-Sik) - Jeju National University College of Medicine Department of Pediatrics
¼ÛÇöÁÖ(Song Hyun-Joo) - Jeju National University College of Medicine Department of Internal Medicine
Àå¿ø¿µ(Chang Weon-Young) - Jeju National University College of Medicine Department of Surgery
¸Í¿µÈñ(Maeng Young-Hee) - Jeju National University College of Medicine Department of Pathology
°±â¼ö(Kang Ki-Soo) - Jeju National University College of Medicine Department of Pediatrics
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.
Å°¿öµå
Anemia, iron-deficiency, Hemangioma, cavernous, Capsule endoscopy, Child
KMID :
1038120150480040340
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À¯È¿¼º°á°ú(Recomendation)
This study reported 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.