Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review
Abstract
:1. Introduction
2. Case Description
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Ramanujam, P.S.; Venkatesh, K.S.; Bettinger, L.; Hayashi, J.T.; Rothman, M.C.; Fietz, M.J. Hemangioma of the small intestine: Case report and literature review. Am. J. Gastroenterol. 1995, 90, 2063–2064. [Google Scholar] [PubMed]
- Wei, Y.; Yi, N.; Mo, Y.; Liang, Y. A case report of gastrointestinal hemorrhage cause by small intestinal hemangioma. Medicine 2023, 102, 30. [Google Scholar] [CrossRef] [PubMed]
- Camilleri, M.; Chadwick, V.S.; Hodgson, H.J. Vascular anomalies of the gastrointestinal tract. Hepatogastroenterology 1984, 31, 149–153. [Google Scholar] [PubMed]
- Omiya, N.; Nakagawa, Y.; Nagasaka, M.; Tahara, T.; Shibata, T.; Nakamura, M.; Hirooka, Y.; Goto, H.; Hirata, I. Obscure gastrointestinal bleeding: Diagnosis and treatment. Dig. Endosc. 2015, 27, 285–294. [Google Scholar] [CrossRef] [PubMed]
- Ell, C.; May, A. Mid-gastrointestinal bleeding: Capsule endoscopy and push-and-pull enteroscopy give rise to a new medical term. Endoscopy 2006, 38, 73–75. [Google Scholar] [CrossRef] [PubMed]
- He, Q.; Bai, Y.; Zhi, F.C.; Gong, W.; Gu, H.X.; Xu, Z.M.; Cai, J.Q.; Pan, D.S.; Jiang, B. Double-balloon enteroscopy for mesenchymal tumors of small bowel: Nine years’ experience. World J. Gastroenterol. 2013, 19, 1820–1826. [Google Scholar] [CrossRef] [PubMed]
- Boyle, L.; Lack, E.E. Solitary cavernous hemangioma of small intestine. Case report and literature review. Arch. Pathol. Lab. Med. 1993, 117, 939–941. [Google Scholar] [PubMed]
- Garvin, P.J.; Herrmann, V.; Kaminski, D.L.; Willman, V.L. Benign and malignant tumors of the small intestine. Curr. Probl. Cancer 1979, 3, 1–46. [Google Scholar] [CrossRef] [PubMed]
- Morgan, D.R.; Mylankal, K.; el Barghouti, N.; Dixon, M.F. Small bowel haemangioma with local lymph node involvement presenting as intussusception. J. Clin. Pathol. 2000, 53, 552–553. [Google Scholar] [CrossRef]
- Otani, K.; Watanabe, T.; Shimada, S.; Hosomi, S.; Nagami, Y.; Tanaka, F.; Kamata, N.; Taira, K.; Yamagami, H.; Tanigawa, T.; et al. Clinical utility of capsule endoscopy and double-balloon enteroscopy in the management of obscure gastrointestinal bleeding. Digestion 2018, 97, 52–58. [Google Scholar] [CrossRef]
- Mönkemüller, K.; Neumann, H.; Meyer, F.; Kuhn, R.; Malfertheiner, P.; Fry, L.C. A retrospective analysis of emergency double-balloon enteroscopy for small-bowel bleeding. Endoscopy 2009, 41, 715–717. [Google Scholar] [CrossRef] [PubMed]
- Wardi, J.; Shahmurov, M.; Czerniak, A.; Avni, Y. Clinical challenges and images in GI. Capillary hemangioma of small intestine. Gastroenterology 2007, 132, 1656. [Google Scholar] [CrossRef]
- Kavin, H.; Berman, J.; Martin, T.L.; Feldman, A.; Forsey-Koukol, K. Successful wireless capsule endoscopy for a 2.5-year-old child: Obscure gastrointestinal bleeding from mixed, juvenile, capillary hemangioma-angiomatosis of the jejunum. Pediatrics 2006, 117, 539–543. [Google Scholar] [CrossRef] [PubMed]
- Kim, Y.S.; Chun, H.J.; Jeen, Y.T.; Um, S.H.; Kim, C.D.; Hyun, J.H. Small bowel capillary hemangioma. Gastrointest. Endosc. 2004, 60, 599. [Google Scholar] [CrossRef] [PubMed]
- May, A.; Nachbar, L.; Pohl, J.; Ell, C. Endoscopic interventions in the small bowel using double balloon enteroscopy: Feasibility and limitations. Am. J. Gastroenterol. 2007, 102, 527–535. [Google Scholar] [CrossRef] [PubMed]
- Hu, P.F.; Chen, H.; Wang, X.H.; Wang, W.J.; Su, N.; Shi, B. Small intestinal hemangioma: Endoscopic or surgical intervention? A case report and review of literature. World J. Gastrointest. Oncol. 2018, 10, 516–521. [Google Scholar] [CrossRef] [PubMed]
- Yamamoto, N.; Hoshihara, Y.; Shida, K.; Hoteya, S.; Iizuka, T.; Tanaka, Y.; Hashimoto, M.; Yamamoto, T.; Ubara, Y.; Tanimoto, A. A case of capillary hemangioma of the ileum diagnosed by endoscopic polypectomy. Gastroenterol. Endosc. 2004, 46, 949–954, (Abstract in English). [Google Scholar]
- Shirakawa, K.; Nakamura, T.; Endo, M.; Suzuki, K.; Fujimori, T.; Terano, A. Pyogenic granuloma of the small intestine. Gastroenterol. Endosc. 2007, 66, 827–828. [Google Scholar] [CrossRef] [PubMed]
- Willert, R.P.; Chong, A.K. Multiple cavernous hemangiomas with iron deficiency anemia successfully treated with double balloon enteroscopy. Gastrointest. Endosc. 2008, 67, 765–767. [Google Scholar] [CrossRef]
- Ng, E.K.; Cheung, F.K.; Chiu, P.W. Blue rubber bleb nevus syndrome: Treatment of multiple gastrointestinal hemangiomas with argon plasma coagulator. Dig. Endosc. 2009, 21, 40–42. [Google Scholar] [CrossRef]
- Kuga, R.; Furuya, C.K.; Fylyk, S.N.; Sakai, P. Solitary pyogenic granuloma of the small bowel as the cause of obscure gastrointestinal bleeding. Endoscopy 2009, 41 (Suppl. 2), E76–E77. [Google Scholar] [CrossRef] [PubMed]
- Shibuya, T.; Osada, T.; Mitomi, H.; Takeda, T.; Nomura, O.; Nakayama, H.; Hidaka, Y.; Mori, H.; Beppu, K.; Sakamoto, N.; et al. Jejunal capillary hemangioma treated by using double-balloon endoscopy (with video). Gastrointest. Endosc. 2010, 72, 660–661. [Google Scholar] [CrossRef]
- Nagoya, H.; Tanaka, S.; Tatsuguchi, A.; Mitsui, K.; Ehara, A.; Kobayashi, T.; Fujimori, S.; Sakamoto, C. Rare cause of obscure gastrointestinal bleeding due to pyogenic granuloma in the ileum detected by capsule endoscopy and treated with double balloon endoscopy. Dig. Endosc. 2010, 22, 71–73. [Google Scholar] [CrossRef] [PubMed]
- Easler, J.J.; Papachristou, G.I. A case of obscure gastrointestinal bleeding. Gastroenterology 2012, 142, 700. [Google Scholar] [CrossRef] [PubMed]
- Mizusawa, Y.; Shibuya, T.; Osada, T.; Kurashita, E.; Miura, M.; Nomura, O.; Fukuo, Y.; Beppu, K.; Sakamoto, N.; Nagahara, A.; et al. Two cases of capillary hemangioma of the small intestine treated using double-balloon endoscopy. Prog. Dig. Endosc. 2013, 82, 168–169, (Abstract in English). [Google Scholar] [CrossRef] [PubMed]
- Hirata, K.; Hosoe, N.; Imaeda, H.; Naganuma, M.; Murata, H.; Ueno, M.; Suzuki, H.; Ogata, H.; Kanai, T. Obscure gastrointestinal bleeding: Resection of a pyogenic granuloma of the ileum via double-balloon enteroscopy. Clin. J. Gastroenterol. 2014, 7, 397–401. [Google Scholar] [CrossRef]
- Ning, S.; Zhang, Y.; Zu, Z.; Mao, X.; Mao, G. Enteroscopic sclerotherapy in blue rubber bleb nevus syndrome. Pak. J. Med. Sci. 2015, 31, 226–228. [Google Scholar] [CrossRef]
- Kawasaki, K.; Kurahara, K.; Matsumoto, T. Pyogenic granuloma of the ileum depicted by small-bowel radiography, capsule endoscopy and double balloon endoscopy. Dig. Liver Dis. 2015, 47, 436. [Google Scholar] [CrossRef]
- Mizutani, Y.; Hirooka, Y.; Watanabe, O.; Nakamura, M.; Yamamura, T.; Ando, T.; Goto, H. Pyogenic granuloma of the small bowel treated by double-balloon enteroscopy. Gastrointest. Endosc. 2015, 81, 1023–1024. [Google Scholar] [CrossRef]
- Igawa, A.; Oka, S.; Tanaka, S.; Kunihara, S.; Nakano, M.; Chayama, K. Polidocanol injection therapy for small-bowel hemangioma by using double-balloon endoscopy. Gastrointest. Endosc. 2016, 84, 163–167. [Google Scholar] [CrossRef]
- Romero-Mascarell, C.; García-Pagán, J.C.; Araujo, I.K.; Llach, J.; González-Suárez, B. Pyogenic granuloma in the jejunum successfully removed by single-balloon enteroscopy. Rev. Esp. Enferm. Dig. 2016, 109, 152–154. [Google Scholar] [CrossRef] [PubMed]
- Zhang, D.; Glover, S.C.; Liu, W.; Liu, X.; Lai, J. Small Bowel Pyogenic Granuloma with Cytomegalovirus Infection in a Patient with Crohn’s Disease (Report of a Case and Review of the Literature). In Vivo 2019, 33, 251–254. [Google Scholar] [CrossRef] [PubMed]
- Hayashi, Y.; Hosoe, N.; Takabayashi, K.; Kamiya, J.K.; Mutaguchi, M.; Miyanaga, R.; Hirata, K.; Fukuhara, S.; Mikami, Y.; Sujino, T.; et al. Clinical and Endoscopic Characteristics of Pyogenic Granuloma in the Small Intestine: A Case Series with Literature Review. Intern. Med. 2020, 59, 501–505. [Google Scholar] [CrossRef] [PubMed]
- Murakami, T.; Yoshida, N.; Yasuda, R.; Hirose, R.; Inoue, K.; Dohi, O.; Kamada, K.; Uchiyama, K.; Konishi, H.; Naito, Y.; et al. Local recurrence and its risk factors after cold snare polypectomy of colorectal polyps. Surg. Endosc. 2020, 34, 2918–2925. [Google Scholar] [CrossRef]
- Motohashi, Y.; Hisamatsu, T.; Ikezawa, T.; Matsuoka, S.; Ogawa, S.; Yoshino, K.; Koide, O.; Mizuno, Y.; Nishida, J. A case of pyogenic granuloma in the small intestine. Nihon Shokakibyo Gakkai Zasshi 1999, 96, 1396–1400. (In Japanese) [Google Scholar]
White blood cells | (/µL) | 7300 |
Red blood cells | (/µL) | 322 × 104 |
Hemoglobin | (g/dL) | 8.5 |
Hematocrit | (%) | 27.5 |
Mean corpuscular volume | (fL) | 85.4 |
Reticulocytes | (%) | 1.2 |
Platelets | (/µL) | 35.8 × 104 |
Aspartate aminotransferase | (U/L) | 15 |
Alanine aminotransferase | (U/L) | 15 |
Lactate dehydrogenase | (U/L) | 141 |
Alkaline phosphatase | (U/L) | 133 |
Total protein | (g/dL) | 7.7 |
Albumin | (g/dL) | 3.4 |
Blood urea nitrogen | (mg/dL) | 17 |
Creatinine | (mg/dL) | 0.58 |
Sodium | (mEq/L) | 137 |
Potassium | (mEq/L) | 4.7 |
Chloride | (mEq/L) | 102 |
Total Bilirubin | (mg/dL) | 0.45 |
Iron | (µg/dL) | 35 |
Total iron-binding capacity | (µg/dL) | 338 |
Unsaturated iron-binding capacity | (µg/dL) | 303 |
Ferritin | (ng/dL) | 16 |
C-reactive protein | (mg/dL) | 2.14 |
Carcinoembryonic antigen | (ng/mL) | 1.7 |
Carbohydrate antigen 19-9 | (U/mL) | 5 |
Reference | Age | Sex | Complaint | Diagnosis | Location | Single/ Multiple | Size | Treatment | Pathology |
---|---|---|---|---|---|---|---|---|---|
Yamamoto [17] | 57 | F | Melena | CS | Terminal ileum | Single | 7 mm | Polypectomy | Capillary |
Shirakawa [18] | 72 | M | Gastrointestinal bleeding | SBCE, DBE | Jejunum | Single | - | Polypectomy | Pyogenic granuloma |
Willert [19] | 19 | M | Anemia | SBCE, DBE | Jejunum/ileum | Multiple | 8 mm/ 14 mm | EMR | Cavernous |
Ng [20] | 20 | F | Anemia | Small bowel enema, CS | Terminal ileum | Multiple | - | APC | - |
Kuga [21] | 55 | M | Anemia | SBCE, DBE | Jejunum | Single | 4 mm | Polypectomy | Pyogenic granuloma |
Shibuya [22] | 74 | M | Melena | SBCE, DBE | Jejunum | Single | 19 mm | EMR | Capillary |
Nagoya [23] | 63 | F | Anemia | SBCE, DBE | Ileum | Single | 7 mm | EMR | Pyogenic granuloma |
Easler [24] | 71 | M | Anemia and melena | BAE | Jejunum | Single | - | EMR | Cavernous |
Mizusawa [25] | 73 | M | Anemia | SBCE, DBE | Jejunum | Single | 6 mm | EMR | Capillary |
Hirata [26] | 82 | F | Gastrointestinal bleeding | SBCE, DBE | Ileum | Single | 8 mm | EMR | Pyogenic granuloma |
Ning [27] | 10 | M | Melena | BAE | Jejunum/ileum | Multiple | 3–30 mm | Polidocanol injection | - |
Kawasaki [28] | 86 | F | Gastrointestinal bleeding | SBCE, DBE | Ileum | Single | 7 mm | EMR | Pyogenic granuloma |
Mizutani [29] | 58 | F | Melena and anemia | SBCE, DBE | Jejunum | Single | - | EMR | Pyogenic granuloma |
Igawa [30] | - | 6M/6F | Gastrointestinal bleeding | SBCE, DBE | Eight jejunum/four ileum | Seven single/ five multiple | - | Polidocanol injection | - |
Romero [31] | 46 | F | Anemia | SBCE, BAE | Jejunum | Single | 15 mm | EMR | Pyogenic granuloma |
Zhang [32] | 67 | M | Abdominal pain | CS | Ileum | Single | 8 mm | Polypectomy | Pyogenic granuloma |
Hayashi [33] | 53–82 | 2M/3F | Hematochezia and anemia | SBCE, BAE | Ileum | Four single/ one multiple | 4–7 mm | EMR | Pyogenic granuloma |
Present case | 86 | M | Anemia | SBCE, DBE | Jejunum | Single | 5 mm | CSP | Capillary |
Present case | 87 | M | Anemia | SBCE, DBE | Jejunum | Single | 7 mm | EMR | Capillary |
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Nomura, K.; Shibuya, T.; Yuzawa, A.; Omori, M.; Odakura, R.; Koma, M.; Ito, K.; Kamba, E.; Maruyama, T.; Nomura, O.; et al. Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review. J. Clin. Med. 2024, 13, 3415. https://doi.org/10.3390/jcm13123415
Nomura K, Shibuya T, Yuzawa A, Omori M, Odakura R, Koma M, Ito K, Kamba E, Maruyama T, Nomura O, et al. Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review. Journal of Clinical Medicine. 2024; 13(12):3415. https://doi.org/10.3390/jcm13123415
Chicago/Turabian StyleNomura, Kei, Tomoyoshi Shibuya, Arisa Yuzawa, Masashi Omori, Rina Odakura, Masao Koma, Kentaro Ito, Eiji Kamba, Takafumi Maruyama, Osamu Nomura, and et al. 2024. "Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review" Journal of Clinical Medicine 13, no. 12: 3415. https://doi.org/10.3390/jcm13123415