Small bowel haemangioma with local lymph node involvement presenting as intussusception.
Gastrointestinal haemangiomas make up 0.05% of all intestinal neoplasms. They are sometimes multiple and usually present with pain, bleeding, and obstruction. An associated haemangiomatous change in regional lymph nodes has not been reported previously. A woman of 21 years presented with abdominal pain and vomiting. Abdominal ultrasound and computed tomography scan showed a lower abdominal mass. Laparotomy revealed a small bowel tumour causing an intussusception together with enlarged mesenteric lymph nodes. Pathological examination revealed a small bowel haemangioma with mesenteric node involvement. The pathogenesis of haemangiomatous involvement of lymph nodes is discussed. Hamartomatous change is the likely cause in this patient.
Morgan
D R
DR
Department of Histopathology, Scarborough Hospital, North Yorkshire, UK. morganr@mail.scarney.northy.nhs.uk
Mylankal
K
K
el Barghouti
N
N
Dixon
M F
MF
D000328:Adult; D005260:Female; D006391:Hemangioma / Q000150:complications* / Q000473:pathology; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications* / Q000473:pathology; D007421:Intestine, Small; D007443:Intussusception / Q000209:etiology* / Q000473:pathology; D008207:Lymphatic Metastasis