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World J Emerg Surg. 2009; 4: 5.
Published online 2009 January 29. doi: 10.1186/1749-7922-4-5.
PMCID: PMC2654482
A rare cause of recurrent gastrointestinal bleeding: mesenteric hemangioma
Mircelal Kazimi,corresponding author1 Murat Ulas,1 Cem Ibis,1 Mutlu Unver,1 Nazan Ozsan,1 Funda Yilmaz,1 Galip Ersoz,1 Murat Zeytunlu,1 Murat Kilic,1 and Ahmet Coker1
1Ege University Medical Faculty Department of General Surgery, Organ Transplantation and Research Center, Izmir, Turkey
corresponding authorCorresponding author.
Mircelal Kazimi: kmrjalal/at/gmail.com; Murat Ulas: drmulas/at/gmail.com; Cem Ibis: acemibis/at/hotmail.com; Mutlu Unver: drmutluunver/at/hotmail.com; Nazan Ozsan: nazan.ozsan/at/ege.edu.tr; Funda Yilmaz: funda.yilmaz/at/ege.edu.tr; Galip Ersoz: galip.ersoz/at/ege.edu.tr; Murat Zeytunlu: murat.zeytunlu/at/ege.edu.tr; Murat Kilic: murat.kilic/at/ege.edu.tr; Ahmet Coker: ahmet.coker/at/ege.edu.tr
Received June 27, 2008; Accepted January 29, 2009.
Abstract
Lower gastrointestinal hemorrhage accounts for approximately 20% of gastrointestinal hemorrhage. The most common causes of lower gastrointestinal hemorrhage in adults are diverticular disease, inflammatory bowel disease, benign anorectal diseases, intestinal neoplasias, coagulopathies and arterio-venous malformations. Hemangiomas of gastrointestinal tract are rare. Mesenteric hemangiomas are also extremely rare.
We present a 25-year-old female who was admitted to the emergency room with recurrent lower gastrointestinal bleeding. An intraluminal bleeding mass inside the small intestinal segment was detected during explorative laparotomy as the cause of the recurrent lower gastrointestinal bleeding. After partial resection of small bowel segment, the histopathologic examination revealed a cavernous hemagioma of mesenteric origin.
Although rare, gastrointestinal hemangioma should be thought in differential diagnosis as a cause of recurrent lower gastrointestinal bleeding.