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Open Access Highly Accessed Case report

Giant mesenteric hemangioma of cavernous and venous mixed type: a rare case report

Guang-Zhi Yang1, Jing Li1* and Hua Jin2

Author Affiliations

1 Department of Pathology, The General Hospital of Beijing Military Command, Beijing 100700, China

2 Department of Pathology, The 263rd Hospital of PLA, Beijing 101149, China

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BMC Surgery 2013, 13:50  doi:10.1186/1471-2482-13-50

Published: 30 October 2013

Abstract

Background

Although vascular tumours are one of the most common soft tissue neoplasms, those occurring in the gastrointestinal system are rare and cases involving mesentery are even further rare. Herein, we reported a rare case of giant hemangioma in mesentery of the small bowel.

Case presentation

A 5-year-old girl was admitted to the emergency room with abdominal pain and vomit for two days. Ultrasonography and computed tomography showed a giant solid-cystic abdominal mass, preferring diagnosis of teratoma. A large neoplasm in the mesentery of the small bowel was found in the surgical exploration, which was then resected with the partial bowel. A brown honeycomb mass in size 16 cm×8 cm×5 cm was observed to adhere to the small bowel, and diagnosed as hemangioma of cavernous and venous mixed type in final pathology.

Conclusion

The mesenteric hemangioma is extremely rare and the variable imaging tests are non-specific, thus the diagnosis is rarely made before surgery and usually established by histopathological investigation after surgery. So the mesenteric hemangioma is supposed to be differentiated in abdominal mass, either in adults or children. Complete surgical resection is the optimal treatment.

Keywords:
Mesentery; Hemangioma; Cavernous and venous mixed type; Ileus