ArticleFrontiers in pediatrics2025
A cavernous hemangioma in the small intestine of a teenage boy: a case report and literature review.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: A cavernous hemangioma in the small intestine is rare. Due to its hidden location and non-specific clinical symptoms, it is difficult to diagnose accurately. Here, we describe a 14-year-old boy with a cavernous hemangioma and bleeding at the junction of the jejunum and ileum. Case summary: The patient presented with clinical manifestations including melena, dizziness, fatigue, pale complexion, and shock. Abdominal contrast-enhanced computed tomography identified a hyperdense lesion within the small bowel lumen. Digital subtraction angiography (DSA) revealed aneurysmal changes in the mid-to-lower abdominal branches of the ileojejunal artery, which were suggestive of a hemorrhage originating from a small intestinal hemangioma. However, subsequent DSA-guided interventional embolization failed to achieve hemostasis. Following a hospital-wide multidisciplinary consultation, a laparoscopic exploration was conducted. During the procedure, a 1.5 cm × 1.5 cm mass was detected at the ileojejunal junction and successfully resected. The postoperative pathological examination confirmed the lesion to be a cavernous hemangioma. One week after surgery, the patient's hemoglobin level increased to 86 g/L, with no recurrence of bloody stools. At the 1-month follow-up, no signs of disease recurrence were observed. Conclusion: This case report presents significant clinical implications for the diagnosis and management of small intestinal cavernous hemangiomas in the pediatric population.
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