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Case Report

Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection

Journal of the Korean Association of Pediatric Surgeons 2012;18(1):24-29.
Published online: June 30, 2012

Department of Surgery, School of Medicine, Kyungpook National University, Taegu, Korea.

Correspondence: Jinyoung Park, M.D., Department of Surgery, Kyungpook National University Hospital, 50 Samduk-2 Ga, Chung-gu, Taegu 700-721, Korea. Tel: 053)420-5612, Fax: 053)421-0510, kpnugs@yahoo.co.kr
• Received: June 13, 2012   • Accepted: September 6, 2012

Copyright © 2012 Korean Association of Pediatric Surgeons

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  • Although hemangiomas are common vascular tumors that can occurany where in the body, they seldom involve the gastrointestinal tract. Hemangiomas of the gastrointestinal tract in infants and children are rare benign vascular tumors that most commonly present with gastrointestinal bleeding. We describe here the case of 2-year-old boy with intestinal bleeding caused by a large jejunal cavernous hemangioma, which was treated by laparoscopy-assisted resection of the affected portion of the jejunum.
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Fig. 1
Abdominopelvic CT scan with contrast medium, showing circumferential thickening of the small bowel with central enhancement in the pelvic cavity.
jkaps-18-24-g001.jpg
Fig. 2
Surgical specimen, showing a 10 × 4 cm circumferential blood-filled reddish mass involving the serosal surface of the jejunum.
jkaps-18-24-g002.jpg
Fig. 3
Microscopic examination of the hemangioma, showing large, dilated, blood-filled vessels lined by flattened endothelium and focal thickening of the vascular walls by adventitial fibrosis (H & E, × 20 original magnification).
jkaps-18-24-g003.jpg

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Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection
J Korean Assoc Pediatr Surg. 2012;18(1):24-29.   Published online June 30, 2012
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Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection
J Korean Assoc Pediatr Surg. 2012;18(1):24-29.   Published online June 30, 2012
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Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection
Image Image Image
Fig. 1 Abdominopelvic CT scan with contrast medium, showing circumferential thickening of the small bowel with central enhancement in the pelvic cavity.
Fig. 2 Surgical specimen, showing a 10 × 4 cm circumferential blood-filled reddish mass involving the serosal surface of the jejunum.
Fig. 3 Microscopic examination of the hemangioma, showing large, dilated, blood-filled vessels lined by flattened endothelium and focal thickening of the vascular walls by adventitial fibrosis (H & E, × 20 original magnification).
Large Cavernous Hemangioma in the Jejunum of a 2-year-old Boy Treated by Laparoscopy-assisted Resection