Colonic Involvement in Hemangiomatosis

Colonic Involvement in Hemangiomatosis – Example

Author: Prof. em. Dr. med. S. Liebe, University Hospital Rostock, Rostock, Germany
From: Falk Media Service D34, Endoscopy Practice on Video - Selected Diseases of the Colon
2. Edition 2012. © Falk Foundation e.V. All rights reserved.

Clinical presentation
This is a 12-year-old white girl admitted for work-up of anemia secondary to blood loss. The underlying cause was found to be hemangiomatosis affecting the entire gastrointestinal tract. The hemangiomatous changes were responsible for chronic blood loss and were easily visualized with transabdominal ultrasound, capsule endoscopy and ileocolonoscopy.

The video recording begins in the cecum. Immediately behind Bauhin’s valve one sees a hemangioma about 1 cm in diameter, which has a tumor-like appearance and projects into the intestinal lumen. Its surface is very erythematous. There are further tumor-like hemangiomas in the sigmoid colon.

This is a rare clinical picture. In this case, the changes are unequivocally identifiable as hemangiomas at colonoscopy. Biopsy or endoscopic excision are not indicated.

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