S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 30 No.3 (1989)
Intestinal Hemangioma Causing Episodic Bleeding and Iron Deficiency Anemia
간헐성 장출혈과 철결핍 빈혈로 나타난 소장의 혈관종
- Park, Sung Hye; Suh, Jin Suk; Chi, Je G,; Seo, Jeong Kee; Park, Kwi Won
- Issue Date
- Seoul J Med, Vol.30 No.3, pp. 189-193
- Hemangiomas of the intestine are extremely rare. The clinical manifestations
are intestinal obstruction, hemorrhage, pain and/or intussusception. Overt blood loss is the
most common presenting symptom in children.
Presented case is a 6 year old girl with a jejunal hemangioma who has suffered from
chronic iron deficiency amemia during 4 years due to recurrent gastrointestinal bleeding.
Melena was not easily noticed because her black stool color was thought to be due to
varidus syrup (iron preparation). Unil the 4th admission, all workups except angiography
failed to disclose the source of bleeding. Angiography showed contrast puddling in late
venous phase at the area of the jejunoileal junction. Exploratory laparotomy was carried out
to reveal a reddish discoloration in a segment of small intestine, 170 cm proximal from the
ileocecal valve, and cavernous hemangioma was confirmed.