Evidence map›Paper›PMID 42761631›Full record

ReviewInternational medical case reports journal2026

Small Intestinal Cavernous Hemangioma Presenting with Recurrent Gastrointestinal Bleeding: A Case Report and Narrative Review.

Ya-Lin Liu, Hai-Rui Shang, Liang-Bi Xu, Xiao-Wen Xu, Yuan-Xue Ji, Yi-Yang He, Shao-Jie Chen

Abstract readCase ReportsReview
In one paragraph

Review in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ya-Lin Liu *Department of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.ORCID 0000-0002-0894-5346
Hai-Rui Shang *Regulations Section of the Medical Department, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.ORCID 0009-0002-4583-7704
Liang-Bi XuDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.ORCID 0000-0003-4410-8585
Xiao-Wen XuDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.ORCID 0000-0002-0896-5144
Yuan-Xue JiDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.ORCID 0009-0003-2041-3769
Yi-Yang HeDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.ORCID 0009-0006-6733-6432
Shao-Jie ChenDepartment of Hepatobiliary Surgery, Guizhou Hospital of the First Affiliated Hospital of Sun Yat-Sen University, Guiyang, Guizhou, People's Republic of China.ORCID 0009-0005-5446-8973

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Small intestinal cavernous hemangiomas are rare vascular malformations that present diagnostic and therapeutic challenges due to their deep location and propensity for recurrent bleeding. This report aims to describe a case with a sequential management approach and to synthesize existing evidence through a narrative literature review. Case Presentation : A 74-year-old female presented with recurrent melena for five months. Initial imaging (gastroscopy, colonoscopy, computed tomography angiography, and computed tomography enterography) revealed no bleeding source. Balloon-assisted enteroscopy identified a 0.6 cm mucosal protrusion 520 cm distal to the pylorus, with active oozing. Endoscopic hemostasis was achieved using metal clip occlusion and lauromacrogol sclerotherapy, following which a biopsy was performed safely to confirm the diagnosis of hemangioma. Six months later, melena recurred, and the patient underwent surgical resection of the same lesion. Pathological examination confirmed a cavernous hemangioma. At two-year follow-up, the patient remained free from recurrent gastrointestinal bleeding. Conclusion: This case highlights the value of balloon-assisted enteroscopy for localizing obscure small intestinal bleeding and achieving temporary hemostasis. While endoscopic intervention facilitates diagnosis and acute bleeding control, surgical resection remains the definitive treatment for selected cases. Close follow-up may be considered to monitor for potential recurrence. A narrative review of the literature supports the rarity of this condition and the limited evidence base for treatment standardization.

Indexed as

Gastrointestinal HemorrhageHemangioma, CavernousIntestine, SmallAgedBalloon EnteroscopyFemaleHemostasis, EndoscopicHumansMelenaRecurrenceSclerotherapydiagnosisenteroscopygastrointestinal hemorrhagesmall intestinal cavernous hemangiomasurgical resection

Identifiers

PMID42761631
PMCPMC13588126

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.