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Case report
Ileal cavernous haemangioma in an adult presenting as a rare cause of small bowel obstruction
  1. Hitali Vasant Majethia1,
  2. Vijay Waman Dhakre2,
  3. Husain Gheewala3 and
  4. Prajesh Bhuta1,2
  1. 1Department of Surgical Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  2. 2Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  3. 3Department of Surgery, Saifee Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Vijay Waman Dhakre; vddrvijayd{at}gmail.com

Abstract

Haemangiomas of the small bowel are a very rare entity and rarely considered as an aetiology for an intestinal obstruction. Contrast-enhanced CT is the investigation of choice but the lesion can be confused with malignancy or rarely a neuroendocrine tumour. Commonly it presents as abdominal pain with anaemia and/or melaena. With patients presenting without obstruction or acute gastrointestinal bleed, capsule endoscopy has shown to be a useful diagnostic tool.

We present here our experience of managing a case of a patient with ileal haemangioma who presented with a subacute small bowel obstruction and underwent a laparoscopic-assisted ileal segmental resection with side-to-side anastomosis. The lesion was a cavernous haemangioma on histopathological analysis.

  • gastrointestinal system
  • endoscopy
  • GI bleeding
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2020-239115

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    Footnotes

    • Contributors HVM wrote the case presentation and procured all the case details and operative photographs which are relevant. VWD conceptualised the overall article, did the literature search and contributed to designing the discussion. HG contributed to the literature search and procuring photographs of histopathology. PB was the lead surgeon who contributed to the literature search and did final proofreading.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.