Dukmak Osama N, Ayyad Mohammed, Gabajah Mahmoud, Dabbas Fida', Budair Ayman, Emar Mohammad, Maraqa Mohamed, Joubran Fahmi
College of Medicine, Al-Quds University, Jerusalem, PSE.
Internal Medicine, Al-Quds University, Jerusalem, PSE.
Cureus. 2023 Aug 10;15(8):e43293. doi: 10.7759/cureus.43293. eCollection 2023 Aug.
Duodenal hemangiomas are benign vascular tumors caused by haphazard vascular proliferation within the duodenal wall. Although rare, duodenal hemangiomas could lead to rapidly progressive life-threatening gastrointestinal (GI) bleeding that requires urgent intervention. The diagnosis of duodenal hemangioma often requires direct visualization of the lesion either endoscopically or surgically, as well as histopathological examination. Treatment options include endoscopic resection, laser coagulation, sclerotherapy, or in a specific subset of patients, open or laparoscopic surgical intervention. We herein report a case of a 46-year-old female presenting with signs and symptoms of chronic GI bleeding. The patient underwent upper endoscopy and was found to have an ulcerated mass in the proximal duodenum consistent with the diagnosis of duodenal hemangioma. This case highlights the importance of including duodenal hemangioma in the differential of upper GI bleeding. It also underscores the significance of surgical intervention in treating duodenal hemangioma, as well as the crucial role of employing endoscopy in the diagnostic and therapeutic management of this condition.
十二指肠血管瘤是由十二指肠壁内血管随机增生引起的良性血管肿瘤。尽管十二指肠血管瘤罕见，但可导致迅速进展的危及生命的胃肠道出血，需要紧急干预。十二指肠血管瘤的诊断通常需要通过内镜或手术直接观察病变，并进行组织病理学检查。治疗选择包括内镜切除、激光凝固、硬化疗法，或在特定患者亚组中进行开放或腹腔镜手术干预。我们在此报告一例46岁女性患者，表现出慢性胃肠道出血的体征和症状。患者接受了上消化道内镜检查，发现十二指肠近端有一个溃疡肿块，符合十二指肠血管瘤的诊断。该病例强调了在鉴别上消化道出血时考虑十二指肠血管瘤的重要性。它还强调了手术干预在治疗十二指肠血管瘤中的重要性，以及内镜在这种疾病的诊断和治疗管理中的关键作用。
