Abstract
Purpose: A 58 yr old man came for routine colonoscopy screening. He had no history of gastrointestinal bleeding. Prior tests for fecal occult blood were negative. His past medical history was significant for resection of giant cavernous hemangioma of the left lobe of liver, 10 year ago and multiple residual hemangiomas in the right hepatic lobe. Physical exam revealed multiple cherry red vascular blebs on the back and upper chest, which blanch with pressure. Colonoscopy showed multiple, red colored vascular blebs, seen in the cecum and the adjacent ascending colon. None of the lesions showed active bleeding. The patient demonstrated multiple hemangiomas, involving the colon, liver and skin. At 1 year follow up, the patient continues to remain asymptomatic with no gastrointestinal bleeding or increase in size of liver hemangiomas. To our knowledge, there is no previous case report of multi-organ involvement by hemangiomas.
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