Ege University Medical Faculty Department of General Surgery, Organ Transplantation and Research Center, Izmir, Turkey.
World J Emerg Surg. 2009 Jan 29;4:5. doi: 10.1186/1749-7922-4-5.
Lower gastrointestinal hemorrhage accounts for approximately 20% of gastrointestinal hemorrhage. The most common causes of lower gastrointestinal hemorrhage in adults are diverticular disease, inflammatory bowel disease, benign anorectal diseases, intestinal neoplasias, coagulopathies and arterio-venous malformations. Hemangiomas of gastrointestinal tract are rare. Mesenteric hemangiomas are also extremely rare.We present a 25-year-old female who was admitted to the emergency room with recurrent lower gastrointestinal bleeding. An intraluminal bleeding mass inside the small intestinal segment was detected during explorative laparotomy as the cause of the recurrent lower gastrointestinal bleeding. After partial resection of small bowel segment, the histopathologic examination revealed a cavernous hemagioma of mesenteric origin.Although rare, gastrointestinal hemangioma should be thought in differential diagnosis as a cause of recurrent lower gastrointestinal bleeding.
下消化道出血占胃肠道出血的约 20%。成人下消化道出血的最常见原因是憩室疾病、炎症性肠病、良性肛肠疾病、肠肿瘤、凝血障碍和动静脉畸形。胃肠道血管瘤比较少见,肠系膜血管瘤更为罕见。我们报告了 1 例 25 岁女性,因反复下消化道出血就诊于急诊。剖腹探查时发现小肠段腔内有出血性肿块,是反复下消化道出血的原因。小肠部分切除术后,组织病理学检查显示为肠系膜来源的海绵状血管瘤。尽管罕见,但在鉴别诊断中应考虑胃肠道血管瘤是反复下消化道出血的原因。