Multiple haemangiomas of the jejunum: gastrointestinal bleeding
Severe anaemia, dark red rectal bleeding mixed in with the stools, and abdominal pain.
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At the non contrast CT study some dense material with irregular distribution in the lumen of the small and large bowel it is visible, suggesting GI bleeding.
At the enhanced scan arterial phase , no obvious GI focal lesion is detectable.
During the portal, the venous and the delayed phase multiple intramural pregressive enhancing lesions in the jejunum are detectable which resulted as histologic diagnosis of multiple haemangiomas
1 case question available
GI haemangiomas can cause GI bleeding, abdominal pain, end anaemia
Most intestinal haemangiomas are located in the jejunum arising from the submucosal vascular plexus and often form a polypoid, intraluminal subepithelial mass, although they may occasionally appear diffuse.
CT reveals intramural subepithelial lesions with an intraluminal growth pattern. Dynamic contrast-enhanced CT images demonstrate slow diffuse enhancement, visible at the portal venous and delayed phase : accordingly with this study, these lesions could be easily missed during the arterial phase and unenhanced CT.
In this patient previous colonoscopy and capsule endoscopy did not show clearly any GI lesion causing bleeding.
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