Attash Saad Muwafaq, Ali Mohammed Sulaiman, Al-Nuaimy Hatim A
Iraqi Ministry of Health, Al-Jumhoori Teaching Hospital, Mosul, Iraq.
BMJ Case Rep. 2012 Oct 6;2012:bcr2012006979. doi: 10.1136/bcr-2012-006979.
We present a rare case of a 3-year-old child with a history of recurrent attacks of haematemesis, melena and severe anaemia. Upper gastrointestinal endoscopy revealed a vascular mass at the fundus and greater curvature of the stomach, CT revealed an ill-circumscribed mass of mixed attenuation in the left upper abdomen, which was related to the fundus and greater curvature of the stomach, extending to the spleen, greater omentum and transverse colon with a homogeneous enhancement following contrast injection suggesting the diagnosis of haemangioma. Explorative laparotomy was done and partial gastrectomy together with splenectomy and omentectomy was performed. Histological examination confirmed the diagnosis of cavernous haemangioma.
我们报告一例罕见的3岁儿童病例,该患儿有反复呕血、黑便及严重贫血病史。上消化道内镜检查显示胃底和胃大弯处有一血管性肿物,CT显示左上腹有一界限不清的混合密度肿物,与胃底和胃大弯相连,延伸至脾脏、大网膜和横结肠,注射造影剂后呈均匀强化,提示诊断为血管瘤。遂行剖腹探查术,进行了部分胃切除术、脾切除术和网膜切除术。组织学检查证实为海绵状血管瘤。