| [ Summary ] |
Hemangioma of the small or large intestine is uncommon, but is an important cause of gastrointestinal bleeding. Less than 100 cases of hemangioma in either the small intestine or the large intestine have been reported in Japan. According to Kaijser's classification, hemangioma of the intestine is categorized into 4 types; multiple phlebectasia, cavernous hemangioma, simple capillary hemangioma and hemangiomatosis. Cavernous hemangioma is the most common type in Japan. Hemangioma of the large intestine can be diagnosed by endoscopic findings or histological examination of a specimen obtained by endoscopic polypectomy. Diagnosis of a small bowel hemangioma, on the other hand, can be very difficult, and preoperative diagnosis have been possible in only 10 of the cases reported in Japan. Recently, intraoperative endoscopy has been recognized as being very useful in the diagnosis of gastrointestinal bleeding of unknown origin. Our case, a 32 years old female patient, had a small bowel capillary hemangioma which could be diagnosed by intraoperative endoscopy and histological examination. Furthermore, intraoperative endoscopy is recommended for determining the extent of resection . |