Abstract
Angiolymphoid hyperplasia with eosinophilia (ALHE) / Epithelioid hemangioma (EH) is a rare lesion commonly located in skin but arising in colon even rarer. It clinically follows a benign course of uncertain pathogenesis characterized histologically by plenty of proliferation of histiocytoid endothelial cells of blood vessels and infiltration by dense eosinophil, lymphocytes and plasma cells. The lesion may recur after excision but there is no report of metastasis. A case of sixty-four years male with severe pain in right iliac fossa with bloody stool had CT scan and noticed ulceration with bleeding sites on colonoscopy. Histopathological examination showed characteristic features of ALHE /EH in common location like skin. The lesion very often mimic as bleeding colonic carcinoma which necessitate colectomy. This is a rare case of ALHE /EH in proximal ascending colon.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.158-160
Highlights
Angiolymphoid hyperplasia with eosinophilia (ALHE) was termed as epithelioid hemangioma (EH) by Weiss and Enzinger in 19821, is a rare condition presented mostly in the skin surrounding head & neck area and documented unusual sites in hand, tongue, breast and vulva[2]
We are presenting a case of ALHE arising in ascending colon of ilio cecal region because of rarity that very often misdiagnosed as malignancy
Case Report: A sixty four years male had occasional severe pain in right iliac fossa for five months, change of bowel habits having passage of stool mixed with blood and mucus for last two weeks and attended in outside surgical clinic in the month of August 2015
Summary
Angiolymphoid hyperplasia with eosinophilia (ALHE) was termed as epithelioid hemangioma (EH) by Weiss and Enzinger in 19821, is a rare condition presented mostly in the skin surrounding head & neck area and documented unusual sites in hand, tongue, breast and vulva[2]. We are presenting a case of ALHE arising in ascending colon of ilio cecal region because of rarity that very often misdiagnosed as malignancy. Case Report: A sixty four years male had occasional severe pain in right iliac fossa for five months, change of bowel habits having passage of stool mixed with blood and mucus for last two weeks and attended in outside surgical clinic in the month of August 2015. The case was reported as intestinal tuberculosis and urgent biopsy was taken to exclude malignancy.
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