Summary
A case of an 18-year-old patient suffering for more than 5 years from hypochromic anemia of “unknown origin” was described. At the age of 12 years a cutaneous cavernous hemangioma had been removed. The complaints were weakness, pallor, and pica. No signs of G.I. bleeding or abdominal disease appeared.
Because of chronic hypochromic anemia, X-ray finding suggestive of “duodenal tumor,” and presence of occult blood in the feces, as well as positive Cr51 examination, exploratory laparotomy was performed. This operation revealed nearly 50 small, flat, dark-blue hemangiomas scattered along the duodenum, jejunum, ileum, and colon. A few of the tumors were removed and the histologic examination confirmed the diagnosis of cavernous hemangiomas. Continuous iron therapy was administered and in the period of one year after discharge the level of Hgb. varied from 10.0 to 14.0 gm.%.
An association of G.I. tract hemangiomas and similar skin tumors has been recorded in the literature in 19 cases.
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Gentry, R. W., Dockerty, M. B., andClagett, O. T. Vascular malformations and vascular tumors of the gastrointestinal tract.Internat. Abstr. Surg. 88:281, 1949.
Rickham, P. P. A case of haemangiomatosis of the small intestine.Brit. J. Surg. 39:462, 1952.
McClure, R. D., andEllis, S. W. Hemangiomata of the intestine.Am. J. Surg. 10:241, 1930.
Lazarus, J. A., andMarks, M. S. Benign intestinal tumors of vascular origin.Surgery 22:766, 1947.
Berlyne, G. M., andBerlyne, N. Anaemia due to “Blue-rubber-bleb” naevus disease.Lancet 2:1275, 1960.
Levrat, M., Peycelon, R., Brette, R., andBonnet, P. M. Angiome de l'intestin grêle à forme an émique.Arch. mal. app. digest. 43:225, 1954.
Heycock, J. B., andDickinson, P. D. Haemangiomata of the intestine.Brit. M. J. 1:620, 1951.
Gascoyen, M. Case of naevus involving the parotid gland and causing death from suffocation: Naevi of viscera.Tr. Path. Soc. London 11:267, 1860.
Bandler, M. Hemangiomas of the small intestine associated with mucocutaneous pigmentation.Gastroenterology 38:641, 1960.
Jaffe, R. H. Multiple hemangiomas of the skin and of the internal organs.A.M.A. Arch. Path. 7:44, 1929.
Töpfer, D. Frankfurt. Ztschr. F. Path. 36:337, 1928.
Guy, C. C., andCoopfr, H. F. Solitary hemangioma of small intestine.Surgery 27:93, 1950.
Bean, W. B. Vascular spiders and related lesions of the skin. Thomas, Springfield, Ill., 1958, p. 178.
Holman, C. C. Haemangioma of sigmoid colon. Report of case.Brit. J. Surg. 36:210, 1948.
River, L., Silverstein, J., andTope, J. W. Benign neoplasms of the small intestine. A critical comprehensive review with reports of 20 new cases.Internat. Abstr. Surg. 102:1, 1956.
Olsen, J. D., Dockerty, M. B., andGray, H. K. Benign tumors of the small bowel.Ann. Surg. 134:195, 1951.
Raiford, T. S. Tumors of the small intestine.A.M.A. Arch. Surg. 25:122 and25:321, 1932.
Bernstein, J. S., andWoo Yoon Chey. Small bowel tumors. A clinical study of 109 cases.J. Mt. Sinai Hosp. 21:1, 1958.
Rosing-Bull, C. Intestinal haemangiomatosis.Acta med. scandinav. 104:224, 1952.
Goldfarb, J., Gould, J. M., andEichner, G. S. Hemangioma of the small intestine causing anemia of ten years' duration.J.A.M.A. 156:705, 1954.
Copple, P. J., andKingsburg, R. A. Hemangiomas of the small bowel in children.J. Pediat. 59:243, 1961.
Cooper, M., Stroebel, C. F., Stickney, J. M., andOwen, C. A., Jr. Radiochromium in the study of red-cell survival and gastrointestinal bleeding.Fed. Proc. 14:31, 1955.
Bannerman, R. M. Measurement of gastrointestinal bleeding using radioactive chromium.Brit. M. J. 5052:1032, 1957.
Roche, M., Perez-Gimenez, M. E., Layrisse, M., andDi Prisco, E. Study of urinary and fecal excretion of radioactive chromium Cr51 in man. Its use in the measurement of intestinal blood loss associated with hookworm infection.J. Clin. Invest. 36:1183, 1957.
Ebaugh, F. G., Jr., Clemens, T., Jr., andRodnan, G. Quantitative measurement of gastrointestinal blood loss. 1. The use of radioactive Cr51 in patients with gastrointestinal haemorrhage.Am. J. Med. 25:169, 1958.
Shepherd, J. A. Angiomatous conditions of the gastro-intestinal tract.Brit. J. Surg. 40:407, 1953.
Gilon, E., Ramot, B., andSheba, Ch. Multiple hemangiomata associated with thrombocytopenia: Remarks on the pathogenesis of the thrombocytopenia in this syndrome.Blood 14:74, 1959.
Beller, F. K., andRuhrmann, G. Zur Pathogenese des Kasabach-Meritt-Syndrome.Klin. Wchnschr. 37:1078, 1958.
Blix, S., andAas, K. Giant haemangioma, thrombocytopenia, fibrinogenopenia and fibrinolytic activity.Acta med. scandinav. 169:63, 1961.
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I am indebted to Dr. A. Gefel for helpful critical comments.
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Pruzanski, W. Intestinal and cutaneous hemangiomatosis. Digest Dis Sci 8, 200–205 (1963). https://doi.org/10.1007/BF02232661
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DOI: https://doi.org/10.1007/BF02232661