Skip to main content
Log in

Intestinal and cutaneous hemangiomatosis

Report of a case

  • Case Reports
  • Published:
The American Journal of Digestive Diseases Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gentry, R. W., Dockerty, M. B., andClagett, O. T. Vascular malformations and vascular tumors of the gastrointestinal tract.Internat. Abstr. Surg. 88:281, 1949.

    Google Scholar 

  2. Rickham, P. P. A case of haemangiomatosis of the small intestine.Brit. J. Surg. 39:462, 1952.

    Google Scholar 

  3. McClure, R. D., andEllis, S. W. Hemangiomata of the intestine.Am. J. Surg. 10:241, 1930.

    Google Scholar 

  4. Lazarus, J. A., andMarks, M. S. Benign intestinal tumors of vascular origin.Surgery 22:766, 1947.

    Google Scholar 

  5. Berlyne, G. M., andBerlyne, N. Anaemia due to “Blue-rubber-bleb” naevus disease.Lancet 2:1275, 1960.

    Google Scholar 

  6. 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.

    Google Scholar 

  7. Heycock, J. B., andDickinson, P. D. Haemangiomata of the intestine.Brit. M. J. 1:620, 1951.

    Google Scholar 

  8. Gascoyen, M. Case of naevus involving the parotid gland and causing death from suffocation: Naevi of viscera.Tr. Path. Soc. London 11:267, 1860.

    Google Scholar 

  9. Bandler, M. Hemangiomas of the small intestine associated with mucocutaneous pigmentation.Gastroenterology 38:641, 1960.

    Google Scholar 

  10. Jaffe, R. H. Multiple hemangiomas of the skin and of the internal organs.A.M.A. Arch. Path. 7:44, 1929.

    Google Scholar 

  11. Töpfer, D. Frankfurt. Ztschr. F. Path. 36:337, 1928.

    Google Scholar 

  12. Guy, C. C., andCoopfr, H. F. Solitary hemangioma of small intestine.Surgery 27:93, 1950.

    Google Scholar 

  13. Bean, W. B. Vascular spiders and related lesions of the skin. Thomas, Springfield, Ill., 1958, p. 178.

    Google Scholar 

  14. Holman, C. C. Haemangioma of sigmoid colon. Report of case.Brit. J. Surg. 36:210, 1948.

    Google Scholar 

  15. 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.

    Google Scholar 

  16. Olsen, J. D., Dockerty, M. B., andGray, H. K. Benign tumors of the small bowel.Ann. Surg. 134:195, 1951.

    Google Scholar 

  17. Raiford, T. S. Tumors of the small intestine.A.M.A. Arch. Surg. 25:122 and25:321, 1932.

    Google Scholar 

  18. Bernstein, J. S., andWoo Yoon Chey. Small bowel tumors. A clinical study of 109 cases.J. Mt. Sinai Hosp. 21:1, 1958.

    Google Scholar 

  19. Rosing-Bull, C. Intestinal haemangiomatosis.Acta med. scandinav. 104:224, 1952.

    Google Scholar 

  20. 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.

    Google Scholar 

  21. Copple, P. J., andKingsburg, R. A. Hemangiomas of the small bowel in children.J. Pediat. 59:243, 1961.

    Google Scholar 

  22. 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.

    Google Scholar 

  23. Bannerman, R. M. Measurement of gastrointestinal bleeding using radioactive chromium.Brit. M. J. 5052:1032, 1957.

    Google Scholar 

  24. 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.

    Google Scholar 

  25. 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.

    Google Scholar 

  26. Shepherd, J. A. Angiomatous conditions of the gastro-intestinal tract.Brit. J. Surg. 40:407, 1953.

    Google Scholar 

  27. 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.

    Google Scholar 

  28. Beller, F. K., andRuhrmann, G. Zur Pathogenese des Kasabach-Meritt-Syndrome.Klin. Wchnschr. 37:1078, 1958.

    Google Scholar 

  29. Blix, S., andAas, K. Giant haemangioma, thrombocytopenia, fibrinogenopenia and fibrinolytic activity.Acta med. scandinav. 169:63, 1961.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

I am indebted to Dr. A. Gefel for helpful critical comments.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pruzanski, W. Intestinal and cutaneous hemangiomatosis. Digest Dis Sci 8, 200–205 (1963). https://doi.org/10.1007/BF02232661

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02232661

Keywords

Navigation