Oesophageal cavernous haemangioma diagnosed histologically, not by endoscopic procedures.
Haemangioma of the oesophagus is uncommon in patients with benign oesophageal tumours. We present a patient with an oesophageal haemangioma detected during mass screening of the upper gastrointestinal tract. The patient, a 59-year-old man, had neither abdominal complaints nor a history of gastrointestinal diseases. Endoscopic examination revealed a blue-coloured submucosal tumour (approximately 3 cm in diameter) at the middle portion of oesophagus. Endoscopic Doppler ultrasonography showed an homogeneous and hypoechoic mass without blood flow in the submucosal layer of the oesophagus. However, a magnetic resonance imaging scan did not give a typical image for oesophageal haemangioma. Therefore, partial resection of the tumour was performed to obtain a differential diagnosis using the procedures of endoscopic ligation and polypectomy. Histological examination of the resected tissue showed a cavernous haemangioma in the oesophagus. This endoscopic technique may be useful for the differential diagnosis of oesophageal haemangioma.
Tominaga
K
K
Third Department of Internal Medicine, Osaka City University Medical School, Osaka, Japan.
Arakawa
T
T
Ando
K
K
Umeda
S
S
Shiba
M
M
Suzuki
N
N
Watanabe
T
T
Takaishi
O
O
Fujiwara
Y
Y
Uchida
T
T
Fukuda
T
T
Higuchi
K
K
Kuroki
T
T
D003952:Diagnostic Imaging; D004938:Esophageal Neoplasms / Q000473:pathology*; D004947:Esophagus / Q000473:pathology*; D006392:Hemangioma, Cavernous / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged