A CASE OF SMALL-INTESTINAL CAPILLARY HEMANGIOMA IN WHICH INTRA-OPERATIVE ENDOSCOPY WAS USEFUL IN IDENTIFYING THE BLEEDING SITE

Abstract

The patient was a 69-years-old man, who was hospitalized in the emergency lifesaving center due to heavy melena. From the results of the double contrast imaging of the small intestine, abdominal angiography and hemorrhagic scintigraphy, a bleeding lesion was suspected in the ileum on the anal side. As melena persisted, an intraoperative endoscopy was performed under an emergency laparotomy and a small elevation with erythema and erosion was detected in the ileum and resected. The lesion was diagnosed histopath-ologically as a capillary hemangioma. while the incidence of this disease is low, the patient may follow a serious and lethal course and, therefore, a quick diagnosis and treatment are needed.