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Clin Endosc. 2015 Jul;48(4):340-4. doi: 10.5946/ce.2015.48.4.340. Epub 2015 Jul 24.

Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia.

Author information

1
Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.
2
Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Korea.
3
Department of Surgery, Jeju National University College of Medicine, Jeju, Korea.
4
Department of Pathology, Jeju National University College of Medicine, Jeju, Korea.

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.

KEYWORDS:

Anemia, iron-deficiency; Capsule endoscopy; Child; Hemangioma, cavernous

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