Endoscopic Sclerotherapy in Small Bowel Haemangioma. A Case Report

Authors

  • Florencia Giraudo Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • María Laura Garbi Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • Martín Yantorno Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • Gustavo Javier Correa Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • Leonardo Garavento Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • Augusto Villaverde Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • Fernando Baldoni Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.
  • Francisco Tufare Hospital Interzonal General de Agudos "General José de San Martín". La Plata, Buenos Aires.

DOI:

https://doi.org/10.52787/agl.v52i1.167

Keywords:

Small intestine, hemangioma, sclerotherapy, polidocanol, double-balloon enteroscopy

Abstract

Hemangiomas of the small bowel are an uncommon and difficult-to-diagnose cause manifesting with bleeding of the midgut. We report an 18 -year- old male under study due to iron deficiency anaemia. A video-capsule endoscopy was performed, revealing multiple raised lobulated violaceous lesions in the small intestine of 5 to 15 mm diameter, compatible with hemangiomas. Endoscopic therapy was carried out using an injection of 1% polidocanol, achieving the sclerosis of the lesion without complications and the correction of the anaemia.

References

- 1. Durer C, Durer S, Sharbatji M, Comba IY, Aharoni I, Majeed U. Cavernous Hemangioma of the Small Bowel: A Case Report and Literature Review. Cureus. 2018;10(8):e3113.

- 2. Takase N, Fukui K, Tani T, Nishimura T, Tanaka T, Harada N, et al. Preoperative detection and localization of small bowel hemangioma: Two case reports. World J Gastroenterol. 2017;23(20):3752-7.

- 3. Ning S, Zhang Y, Zu Z, Mao X, Mao G. Ning S, Zhang Y, Zu Z, Mao X, Mao G. Enteroscopic sclerotherapy in blue rubber bleb nevus syndrome. Pak J Med Sci. 2015;31(1):226-8.

- 4. Hu PF, Chen H, Wang XH, Wang WJ, Su N, Shi B. Hu PF, Chen H, Wang XH, Wang WJ, Su N, Shi B. Small intestinal hemangioma: Endoscopic or surgical intervention? A case report and review of literature. World J Gastrointest Oncol. 2018;10(12):516-21. doi: 10.4251/wjgo.v10.i12.516

- 5. Akazawa Y, Hiramatsu K, Nosaka T, Saito Y, Ozaki Y, Takahashi K, et al. Preoperative diagnosis of cavernous hemangioma presenting with melena using wireless capsule endoscopy of the small intestine. Endosc Int Open. 2016;4(3):E249-51.

- 6. Fukumoto A, Manabe N, Tanaka S, Yamaguchi T, Matsumoto Y, Chayama K. Usefulness of EUS with double-balloon enteroscopy for diagnosis of small-bowel diseases. Gastrointest Endosc. 2007;65(3):412-20.

- 7. Gao Z, Zhang Y, Li W, Shi C. Effectiveness and safety of polidocanol for the treatment of hemangiomas and vascular malformations: A meta-analysis. Dermatol Ther. 2018;31(1).

- 8. Igawa A, Oka S, Tanaka S, Kunihara S, Nakano M, Chayama K. Polidocanol injection therapy for small-bowel hemangioma by using double-balloon endoscopy. Gastrointest Endosc. 2016;84(1):163-7.

- 9. Aoyama T, Fukumoto A, Shigita K, Asayama N, Mukai S, Nagata S. Successful Endoscopic Sclerotherapy Using Polidocanol for Small Bowel Hemangioma. Intern Med. 2020;59(14):1727-30.

Published

2022-03-30

How to Cite

Giraudo, F., Garbi, M. L., Yantorno, M., Correa, G. J., Garavento, L., Villaverde, A. ., Baldoni, F., & Tufare, F. (2022). Endoscopic Sclerotherapy in Small Bowel Haemangioma. A Case Report. Acta Gastroenterológica Latinoamericana, 52(1), 96–100. https://doi.org/10.52787/agl.v52i1.167