Cavernous hemangioma of the ileum in a young man: A case report and review of literature

• Published in: World journal of clinical cases Vol. 10; no. 28; pp. 10146 - 10154
• Main Authors: Yao, Li, Li, Li-Wei, Yu, Bing, Meng, Xiao-Dan, Liu, Shi-Quan, Xie, Li-Hua, Wei, Rong-Fen, Liang, Jie, Ruan, Hua-Qiang, Zou, Jun, Huang, Jie-An
• Format: Report
• Language: English
• Published: 06.10.2022
• ISSN: 2307-8960; 2307-8960
• DOI: 10.12998/wjcc.v10.i28.10146

BACKGROUNDSmall intestinal cavernous hemangioma is a rare disease, especially in the ileum. It is difficult to accurately diagnose due to its hidden location and nonspecific clinical symptoms. Here, we reported a case of ileal cavernous hemangioma with chronic hemorrhage in a 20-year-old man and review the literature to gain a better understanding of this disease. CASE SUMMARYThe patient complained of intermittent melena and hematochezia for > 3 mo. The lowest hemoglobin level revealed by laboratory testing was 3.4 g/dL (normal range: 12-16 g/dL). However, the gastroscopy, colonoscopy and peroral double-balloon enteroscopy (DBE) showed no signs of bleeding. The transanal DBE detected a lesion at about 340 cm proximal to the ileocecal valve. Thus, we performed an exploratory laparoscopy and the lesion was resected. After the operation, the patient had no melena. Finally, the pathological examination identified the neoplasm as an ileal cavernous hemangioma, thereby resulting in gastrointestinal hemorrhage. CONCLUSIONThis report might improve the diagnosis and treatment of ileal cavernous hemangioma.