title: Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia.
abstract: Cavernous hemangiomas of the gastrointestinal tract are extremely rare. In particular, the diagnosis of small bowel hemangiomas is very difficult in children. A 13-year-old boy presented at the outpatient clinic with dizziness and fatigue. The patient was previously diagnosed with iron-deficiency anemia at 3 years of age and had been treated with iron supplements continuously and pure red cell transfusion intermittently. Laboratory tests indicated that the patient currently had iron-deficiency anemia. There was no evidence of gross bleeding, such as hematemesis or bloody stool. Laboratory findings indicated no bleeding tendency. Gastroduodenoscopy and colonoscopy results were negative. To obtain a definitive diagnosis, the patient underwent capsule endoscopy. A purplish stalked mass was found in the jejunum, and the mass was excised successfully. We report of a 13-year-old boy who presented with severe and recurrent iron-deficiency anemia caused by a cavernous hemangioma in the small bowel without symptoms of gastrointestinal bleeding.
authors.affiliation: Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Soo Jin
authors.initials: SJ
authors.lastname: Bae
authors.affiliation: Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Geol
authors.initials: G
authors.lastname: Hwang
authors.affiliation: Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Hyun Sik
authors.initials: HS
authors.lastname: Kang
authors.affiliation: Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Hyun Joo
authors.initials: HJ
authors.lastname: Song
authors.affiliation: Department of Surgery, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Weon Young
authors.initials: WY
authors.lastname: Chang
authors.affiliation: Department of Pathology, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Young Hee
authors.initials: YH
authors.lastname: Maeng
authors.affiliation: Department of Pediatrics, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Ki-Soo
authors.initials: KS
authors.lastname: Kang
keywords: Anemia, iron-deficiency; Capsule endoscopy; Child; Hemangioma, cavernous