Abstract
A 61-year-old woman complained of general fatigue. She was admitted to internal medicine for gastrointestinal tract investigations since a severe anemia and fecal occult blood were found. After admission, she developed a bowel obstruction. Abdominal CT showed a tumor with interior calcification at the left lower abdomen ; dilatation of the oral small intestine was present. A long tube was inserted, and she was referred to the surgery department. The small intestine examination was done. She was diagnosed as having a bowel obstruction caused by a small intestinal tumor, and surgery was performed. The tumor was located at the small intestine and developed extramurally ; it measured 7×4 cm. The tumor adhered to the omentum and the mesentery of the sigmoid colon. The omentum was partially resected, and the mesentery could be separated without dissecting the vessels. A partial resection of small intestine was done, and the tumor was extirpated. On pathology, the tumor was diagnosed as a cavernous hemangioma.
An intestinal hemangioma is rare ; it accounts for 0.05% of all gastrointestinal tumors and 7-11% of small intestine benign tumors. In this paper, we present a case of a small intestinal hemangioma presenting with anemia and bowel obstruction.
