Giant Mesenteric Hemangioma without Small Intestinal Involvement Report of a Case and Review of Literature

Jui-Ten Wu,Chun-I Tsai,Swei-Hsiung Tsung

doi:10.24018/ejmed.2021.3.4.968

Jui-Ten Wu, Chun-I Tsai + Show 1 more

Open Access

https://doi.org/10.24018/ejmed.2021.3.4.968

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Abstract

there were approximately twenty cases reported in the English literature, of which five cases were designated as giant hemangioma. We reported another giant mesenteric hemangioma, measuring 35x20x11 cm. with a weight of 5,5 Kilograms. The etiology of mesenteric hemangioma was still debatable. In our case, the patient only experienced mild abdominal pain, without gastrointestinal hemorrhage. Therefore, we were in favor of mesenteric origin as opposed to gastrointestinal origin. The symptoms were non-specific, ranging from abdominal pain, nausea, vomiting, and gastrointestinal bleeding if Gastrointestinal tract was involved. Preoperative diagnosis was very challenging despite the modern images’ technics have become available, such as computed tomography magnetic resonance and ultrasonography. The final diagnoses of mesenteric hemangioma have been exclusively established by histological examination after surgical removal of the tumor. Surgical resection with clear margin is the treatment of choice.

Highlights

Hemangiomas are one of the most common soft tissue benign neoplasms
There were approximately twenty cases reported in the English literature [1], of which five cases were designated as giant hemangioma [1]-[5]
This large mass was tightly adhered to a 30 cm segment of ileum which was resected with the tumor

Summary

INTRODUCTION

Hemangiomas are one of the most common soft tissue benign neoplasms. They can arise everywhere in almost any organs in the body. There were approximately twenty cases reported in the English literature [1], of which five cases were designated as giant hemangioma [1]-[5]. We report additional giant mesenteric Hemangioma, measuring 35×20×11 cm. After the surgeon opened the abdomen, a large tumor originated from the mesentery was seen. This large mass was tightly adhered to a 30 cm segment of ileum which was resected with the tumor. The mesenteric tumor was removed en bloc

CASE REPORT

PATH HISTOLOGY

DISCUSSION

CONCLUSION