A rare case of an asymptomatic mesenteric hemangioma: an incidental finding
DOI:
https://doi.org/10.18203/2349-2902.isj20194445Keywords:
Mesenteric hemangioma, Intestinal hemangioma, Mesenteric massAbstract
A 60-year-old female patient presented with incidental finding of duodenal mesenteric hemangioma during the work up for a ventral hernia. Our patient presented at the age of 60-years-old with complaints of a ventral hernia. After initial imaging on CT showed an incidental finding of a mesenteric mass, an MRI confirmed the diagnosis, in this otherwise asymptomatic female. The patient underwent an exploratory laparotomy with complete excision of the mesenteric mass. Final pathology shows findings of a mesenteric hemangioma. The finding of a mesenteric mass requires further investigation. While benign and rare, mesenteric hemangiomas should be considered as a possible differential diagnosis in patients with radiographic evidence of a mesenteric mass, especially if the patient has symptoms of gastrointestinal hemorrhage. The literature on mesenteric hemangiomas is reviewed. Hemangioma of the GI tract mesentery is a rare pathology but should be included in the differential diagnosis in patients presenting with an intraabdominal mass.
References
Kazimi M, Ulas M, Ibis C, Unver M, Ozsan N, Yilmaz F, et al. A rare cause of recurrent gastrointestinal bleeding: mesenteric hemangioma. World J Emerg Surg. 2009;4:5.
Amati AL, Hecker A, Schwandner T, Ghanem H, Holler J, Reichert M, et al. A hemangioma of the sigmoid colon mesentery presenting as a retroperitoneal tumor: a case report and review. World J Surg Oncol. 2014;12(79):1-5.
Ojili V, Tirumani SH, Gunabushanam G, Nagar A, Surabhi VR, Chintapalli KN, et al. Abdominal hemangiomas: a pictorial review of unusual, atypical, and rare types. Can Assoc Radiol J. 2013;64(1):18-27.
Ruiz AR, Ginsberg AL. Giant mesenteric hemangioma with small intestinal involvement: An unusual cause of recurrent gastrointestinal bleeding and review of gastrointestinal hemangiomas. Dig Dis Sci. 1999;44(12):2545-51.
Varma JD, Hill MC, Harvey LA. Hemangioma of the small intestine manifesting as gastrointestinal bleeding. Radio Graphics. 1998;18(4):1029-33.
Hanatate F, Mizuno Y, Murakami T. Venous hemangioma of the mesoappendix: report of a case and a brief review of the Japanese literature. Surg Today. 1995;25(11):962-4.
Si-Mohamed S, Aufort S, Khellaf L, Ramos J, Gasne P, Durand L. Mesenteric cavernous hemangioma: Imaging-pathologic correlation. Diagn Interv Imaging. 2015;96(5):495-8.
Dayan D, Raz M, Kuriansky J. Giant cavernous hemangioma of small intestine mesentery: a rare cause of recurrent acute symptomatic anemia. Isr Med Assoc J. 2019;21(6):424-5.
Ishigaki H, Nakae A, Nakai M, Ogasawara K. Mesenteric cavernous hemangioma with urological symptoms. Intern Med. 2015;54(4):437-8.
Wan Z, Yin T, Chen H, Li D. Surgical treatment of a retroperitoneal benign tumor surrounding important blood vessels by fractionated resection: a case report and review of the literature. Oncol Lett. 2016;11(5):3259-64.
